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+<META
+ name="dc.creator"
+ content="Thomas" >
+<META
+ name="dc.title"
+ content="main.book" >
+<META
+ name="dc.date"
+ content="2007-04-09T13:20:29Z" >
+<META
+ name="dc.date.modified"
+ content="2007-04-09T13:20:29Z" >
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+</HEAD>
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+<UL>
+<LI>
+<A href="#LinkTarget_13082">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13129">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13372">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13418">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13706">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13708">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13731">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13750">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13765">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13784">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13802">2 Overview</A>
+</LI>
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+<A href="#LinkTarget_13850">3 Archetyped Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13852">3.1 Overview</A>
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+<A href="#LinkTarget_13928">3.1.1 The PATHABLE Class</A>
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+<A href="#LinkTarget_14165">3.2.1 Class PATHABLE</A>
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+</LI>
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+<A href="#LinkTarget_14303">3.2.3 ARCHETYPED Class</A>
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+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_14552">4 Generic Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_14553">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_14570">4.2 Design Principles</A>
+<UL>
+<LI>
+<A href="#LinkTarget_14571">4.2.1 Referring to Demographic Entities</A>
+</LI>
+<LI>
+<A href="#LinkTarget_14617">4.2.2 Participation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_14619">4.2.3 Audit Information</A>
+</LI>
+<LI>
+<A href="#LinkTarget_14624">4.2.4 Attestation</A>
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+</LI>
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+</LI>
+<LI>
+<A href="#LinkTarget_15070">4.3.9 REVISION_HISTORY_ITEM Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15105">5 Directory Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15106">5.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15115">5.1.1 Paths</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15137">5.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15138">5.2.1 VERSIONED_FOLDER Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15156">5.2.2 FOLDER Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15202">6 Change Control Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15203">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15227">6.2 Basic Semantics</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15228">6.2.1 Typing</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15230">6.2.2 Versioned Objects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15234">6.2.3 Version and its Subtypes</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15270">6.2.4 The “Virtual Version Tree”</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15283">6.2.5 Contributions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15340">6.2.6 Committal and Audits</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15360">6.2.7 Digital Signature</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15389">6.2.8 Attestation</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15422">6.3 Versioning Semantics</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15423">6.3.1 Version Lifecycle</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15427">6.3.2 Logical Deletion</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15465">6.3.3 Version Identification</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15521">6.4 Semantics in Distributed Systems</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15522">6.4.1 Copying</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15592">6.4.2 Version Merging</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15617">6.4.3 Disjoint Merging</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15694">6.4.4 Moving Version Containers</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_15703">6.5 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15704">6.5.1 VERSIONED_OBJECT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15861">6.5.2 VERSION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15941">6.5.3 ORIGINAL_VERSION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16001">6.5.4 IMPORTED_VERSION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16043">6.5.5 CONTRIBUTION Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16093">7 Resource Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16094">7.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16100">7.1.1 Natural Languages and Translation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16116">7.1.2 Meta-data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16133">7.1.3 Revision History</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16136">7.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16137">7.2.1 AUTHORED_RESOURCE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16202">7.2.2 TRANSLATION_DETAILS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16249">7.2.3 RESOURCE_DESCRIPTION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16317">7.2.4 RESOURCE_DESCRIPTION_ITEM Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16378">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16379">A.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16390">A.2 European Projects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16410">A.3 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16417">A.4 OMG</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16435">A.5 Software Engineering</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16438">A.6 Resources</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/common_im_img_0.png">
+<IMG width=396 height=221 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/common_im_img_1.png">
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>b </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_13142">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</TD>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>91 </SPAN
+></SPAN>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>08 Apr 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>common, EHR, reference model, openehr </SPAN
+></P>
+<TABLE style="margin-bottom:89px">
+<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:#ADADAD"
+>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:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#96FF52; 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:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; background-color:#C9FF5C; 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:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>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:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="width:151px; height:23px; background-color:#C9FF5C; 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:#ADADAD"
+>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="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:#ADADAD"
+>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:#D6FBF9; 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:#ADADAD"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Part"
+><H5>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:19px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: http://www.openEHR.org </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:131px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_13082">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:0px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_13129" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:150px">
+<CAPTION  style="margin-bottom:150px">
+<P style="margin-bottom:150px; line-height:15px">
+<A href="#LinkTarget_13058">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:99px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E 1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:93px; 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; vertical-align:top; width:105px; height:667px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:354px; height:667px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000209</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Minor changes to correctly define </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>current_revision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Functions added to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>current_revision </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>postcondition added. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000206</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>item_at_path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to return </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ANY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct Release 1.0 typographical errors. Add missed invariant in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to restrict </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.type to “CONTRIBUTION”. Fix pre- and post-conditions in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> functions. Fix errors in timezone max/min values and invariants. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000203</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Release 1.0 explanatory text improvements. Move Explanatory material on configuration management and versioning to Architecture Overview. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000202</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct minor errors in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VER</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> invariant to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000197</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000214</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Changes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> preparatory to EHR Extract upgrade. Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, extra functions on </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Corrected and added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>commit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> functions to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTA-TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>attested_view </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>(conforms to CEN EN13606-1). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000212</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Allow </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to be optional to enable logical deletion. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000130</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct security details in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>access_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to terminology in RM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000231</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> from List to Hash. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000235</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Make attestation-only commit require a Contribution. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000239</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add common parent type of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000243</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>template_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000244</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Separate </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> path functions into </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PATHA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000166</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add viewable form of document to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000246</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR terminology rubrics. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:667px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Y S Lim H Frankel T Beale T Cook T Beale E Sundvall T Beale H Frankel H Frankel S Heard T Beale T Beale T Beale R Chen R Chen A Patterson H Frankel T Beale T Beale H Frankel S Heard B Verhees M Forss </SPAN
+></TD>
+<TD style="vertical-align:top; width:93px; height:667px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Apr 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="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:93px; height:27px; background-color:#9404FF; 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_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:11px; margin-left:500px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:171px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:99px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:345px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:345px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000147</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> re-usable. Add new </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>directory </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000162</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow party identifiers when no demographic data. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000167</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000179</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>generic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package; add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000182</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Rationalise </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>status </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000065</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add Revision History to change control package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000187</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct modelling errors in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class and rename. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000163</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add identifiers to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> for originating and gateway systems. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000165.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Clarify use of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000190</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> . </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000161</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support distributed versioning. Additions to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>revi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>sion</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, and change type to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:345px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>R Chen S Heard H Frankel T Beale T Beale C Ma D Kalra T Beale T Beale H Frankel H Frankel T Beale H Frankel, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:345px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>02 Feb 2006 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E 0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; 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:93px; 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:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000159</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve explanation of use of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jun 2005 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E 0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; 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:93px; 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:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000048</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Pre-release review of documents. Fixed UML in Fig 8 informal model of version control. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Feb 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:219px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:219px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000108</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Minor changes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000024</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Revert </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and rename as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000097</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct errors in version diagrams in Common model. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000099</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> type in diagram not in sync with spec. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000116</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> vocabulary and invariant. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. Improve presentation of identification section; move some text to data types IM document, basic package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000111</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move Identification Package to Support </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:219px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale S Heard T Beale Ken Thompson R Shackel (DSTC) T Beale T Beale DSTC </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:219px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Dec 2004 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; 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:93px; 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:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:27px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:91px">
+<CAPTION  style="margin-bottom:91px">
+<P style="margin-bottom:91px; line-height:15px">
+<A href="#LinkTarget_13058">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:99px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:249px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:249px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000080</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>concept</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> - not needed in data </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000081</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should be unidirectional. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000083</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>party</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should be optional. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000085</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>synthesised</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> not needed. Add vocabulary for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000086</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>presentation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> not needed. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000091</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct anomalies in use of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>relationship</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000094</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add lifecycle state attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:249px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC T Beale, S Heard DSTC </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:249px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Mar 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.12 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000071</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow version ids to be optional in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000044</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add reverse ref from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to owner object. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000063</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should have a status attribute. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000046</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale D Lloyd D Kalra T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.11 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000056</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. References in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMMON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.Version classes should be </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>02 Nov 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.10 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000045</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>status </SPAN
+></TD>
+<TD style="text-align:center; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>21 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.9 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000025</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATIONs </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to attest parts of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSI-TIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change made due to CEN TC/251 joint WGM, Rome, Feb 2003. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000043</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move External package to Common RM and rename to Identification (incorporates CR-000036 - Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class, make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class abstract.) </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Kalra, D Lloyd, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.8 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>04 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.7 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename key classes according to CEN ENV13606. </SPAN
+></TD>
+<TD style="text-align:center; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.6 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000012</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>presentation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000027</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to be compatible with CEN 13606 revision. Add new class </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Kalra </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.5 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000020</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>territory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.4 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000007</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>GENERIC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000017</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>parent_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Apr 2003 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:49px; margin-left:500px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:10px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:99px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Major alterations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> due to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000003</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000004</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class no longer inherits from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, now related by association. Redesign of Change Control package. Document structure improved. (Formally validated) </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.2 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Moved External package to Support RM. Corrected </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CONTRIBU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Made </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>time </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>optional. (Formally validated). </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Corrected types of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>territory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm_source</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm_originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm_level</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm_concept</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rewrote archetype id section. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> &amp; fixed invariant. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Changes post CEN WG meeting Rome Feb 2003.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CON-TRIBUTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> invariant. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_VA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACQUIRED_VA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> audit types, moved feeder audit to the EHR RM. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>code_set</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> renamed to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Fixed pre/post condition of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>context_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>has_context_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> string syntax. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.5 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed segment from archetype_id; corrected inconsistencies in diagrams and class texts. </SPAN
+></TD>
+<TD style="text-align:center; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3 Jan 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.4 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed inheritance from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; width:99px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:93px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.3 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; changed syntax of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Corrected Fig 6. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>17 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Added Generic Package; added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and changed and moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>iso_oid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remodelled </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>into new classes - </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remodelled all change control classes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd, M Darlison, A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>iso_oid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. DV_LINK no longer a data type; renamed to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed Structure package to own document. Improved CM diagrams. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HCA_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Included Spatial package from EHR RM. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SPATIAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:99px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 Sep 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Taken from EHR RM. </SPAN
+></TD>
+<TD style="text-align:center; width:99px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:93px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>26 Aug 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_13372" style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:53px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including The University College, London; The Cooperative Research Centres Program through the Department of the </SPAN
+></P>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:905px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Prime Minister and Cabinet of the Commonwealth Government of Australia; Ocean Informatics, Australia. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13058">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</DIV>
+<P style="margin-bottom:959px">
+<A href="#LinkTarget_13012">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_13076">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_13418" style="text-align:; margin-bottom:6px; margin-right:137px; margin-left:257px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13706">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction.............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13708">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose.................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13731">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13750">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status....................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13765">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ..........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_13784">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_13802">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Overview ................................................................................. 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13850">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 Archetyped Package .............................................................. 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13852">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13928">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1.1 The PATHABLE Class...................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13960">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1.2 The LOCATABLE Class................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13981">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1.3 Feeder System Audit......................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14164">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Class Descriptions................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14165">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.1 Class PATHABLE..........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14223">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.2 Class LOCATABLE.......................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14303">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.3 ARCHETYPED Class ...................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14356">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.4 LINK Class ....................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14428">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.5 FEEDER_AUDIT Class ................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_14470">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.6 FEEDER_AUDIT_DETAILS Class..............................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14552">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 Generic Package..................................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14553">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14570">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 Design Principles .................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14571">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 Referring to Demographic Entities ................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14617">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 Participation ...................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14619">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 Audit Information ..........................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14624">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.4 Attestation......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14728">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3 Class Descriptions................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14729">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.1 PARTY_PROXY Class..................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14748">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.2 PARTY_SELF Class......................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14789">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.3 PARTY_IDENTIFIED Class .........................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14821">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.4 PARTY_RELATED Class..............................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14862">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.5 PARTICIPATION Class.................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14921">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.6 AUDIT_DETAILS Class...............................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_14983">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.7 ATTESTATION Class....................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15023">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.8 REVISION_HISTORY Class ........................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_15070">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.9 REVISION_HISTORY_ITEM Class ............................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15105">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 Directory Package .................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15106">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview..............................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15115">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.1 Paths...............................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15137">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Class Descriptions................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15138">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.1 VERSIONED_FOLDER Class......................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_15156">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.2 FOLDER Class ..............................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15202">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>6 Change Control Package ....................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:39px">
+<A href="#LinkTarget_15203">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview..............................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:39px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</P>
+<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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15227">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Basic Semantics................................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15228">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.1 Typing............................................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15230">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.2 Versioned Objects..........................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15234">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.3 Version and its Subtypes................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15270">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.4 The “Virtual Version Tree”............................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15283">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.5 Contributions.................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15340">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.6 Committal and Audits ...................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15360">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.7 Digital Signature............................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15389">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.8 Attestation ..................................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15422">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3 Versioning Semantics .......................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15423">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.1 Version Lifecycle........................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15427">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.2 Logical Deletion ............................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15465">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.3 Version Identification .................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15521">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.4 Semantics in Distributed Systems ....................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15522">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.4.1 Copying ......................................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15592">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.4.2 Version Merging............................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15617">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.4.3 Disjoint Merging ........................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15694">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.4.4 Moving Version Containers...........................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15703">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5 Class Descriptions ............................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15704">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5.1 VERSIONED_OBJECT Class ...................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15861">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5.2 VERSION Class............................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15941">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5.3 ORIGINAL_VERSION Class.......................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16001">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5.4 IMPORTED_VERSION Class......................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_16043">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.5.5 CONTRIBUTION Class ............................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16093">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 Resource Package................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16094">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1 Overview ............................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16100">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1.1 Natural Languages and Translation...............................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16116">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1.2 Meta-data.......................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16133">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1.3 Revision History............................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16136">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2 Class Definitions .................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16137">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.1 AUTHORED_RESOURCE Class ................................................ 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16202">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.2 TRANSLATION_DETAILS Class ...............................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16249">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.3 RESOURCE_DESCRIPTION Class.............................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_16317">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.4 RESOURCE_DESCRIPTION_ITEM Class.................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16378">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References............................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16379">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 General ................................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16390">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.2 European Projects................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16410">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.3 CEN ..................................................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16417">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.4 OMG.................................................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16435">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.5 Software Engineering .......................................................................... 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:155px">
+<A href="#LinkTarget_16438">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.6 Resources............................................................................................. 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_13706">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13708">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the architecture of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common Reference Model, which contains patterns used by other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference models. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical informaticians and clinicians intersted in health information; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health data managers. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13731">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Structures Information Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13750">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/common_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/common_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/common_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/common_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/common_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/common_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-announce@openehr.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13765">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:49px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main content. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13784">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:838px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is determined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, automated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Mode</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>l 	</SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_13802" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Overview </SPAN
+></H2>
+<P style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>common</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Reference Model comprises a number of packages containing abstract concepts and design patterns used in higher level </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><A href="#LinkTarget_13815">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. The package structure is illustrated in FIGURE </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px">
+<A href="#LinkTarget_13815">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1. </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4 style="margin-bottom:0px; margin-left:33px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>common </SPAN
+></H4>
+<P style="text-align:; margin-bottom:53px; margin-left:446px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>resource</SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:53px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>archetyped </SPAN
+></H4>
+<P style="text-align:; margin-bottom:53px; margin-right:344px; margin-left:111px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>generic </SPAN
+></P>
+<P style="margin-bottom:53px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>directory </SPAN
+></P>
+<P style="text-align:; margin-bottom:80px; margin-right:77px; margin-left:327px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>change_control </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.common Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>archetyped</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is informed by a number of design principles, centred on the concept of </SPAN
+><A href="#LinkTarget_16379">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘two-level’ modelling. These principles are described in detail in [1]. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>generic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package contains classes forming ‘analysis patterns’ which are generic across the domain, mostly to do with referencing demographic entities from within other data including Participation, Party_proxy, Attestation and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package provides a simple reusable abstraction of a versioned folder structure. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the generalised semantics of changes to a logical repository, such as an EHR, over time. Each item in such a repository is version-controlled to allow the repository as a whole to be properly versioned in time. The semantics described are in response to medicolegal requirements defined in GEHR </SPAN
+><A href="#LinkTarget_16406">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[9]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and in the ISO Technical Specification 18308 </SPAN
+><A href="#LinkTarget_16386">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[4]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Both of these requirements specifications mention specifically the version control of the health record. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:397px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>resource</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package defines semantics of an online authored resource, such as a document, and supports multiple language translations, descriptive meta-data and revision history. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Overview </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_13850">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Archetyped Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13852">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>archetyped</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the core types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. It is illustrated in </SPAN
+><A href="#LinkTarget_13926">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 2. </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4>
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>archetyped </SPAN
+></H4>
+<TABLE style="text-align:left; margin-bottom:-15px">
+<TR>
+<TH style="width:218px; height:19px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>PATHABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>E </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:218px; height:19px; border-style:solid; border-color:#000000; border-width:1px"/>
+</TR>
+<TR>
+<TH style="width:218px; height:92px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>parent</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>PATHABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>E </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>item_at_path </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(a_path</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Any</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>items_at_path </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(a_path</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List&lt;Any&gt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>path_exists </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(a_path</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>path_unique </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(a_path</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>path_of_item </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(a_loc</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>PATHABLE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:6px; margin-left:239px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>LINK </SPAN
+></H5>
+<P style="text-align:left; margin-bottom:-3px; margin-left:67px">
+<IMG width=19 height=11 style="display:block; float:left; margin-bottom:-3px; margin-left:67px" src="images/common_im_img_2.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#007E00"
+>meaning</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_TEXT</SPAN
+></P>
+<P style="margin-bottom:-12px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>*</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> {set} </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-12px; margin-left:239px">
+<IMG width=77 height=8 style="display:block; float:left; margin-bottom:-12px; margin-left:239px" src="images/common_im_img_3.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#007E00"
+>type</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_TEXT</SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>E </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-12px; margin-left:239px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#007E00"
+>target</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_EHR_URI </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>links</SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-right:241px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>DV_TEXT </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:0px; margin-left:216px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>ARCHETYPED </SPAN
+></H5>
+<P style="text-align:left; margin-bottom:0px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>uid</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>UID_BASED_I</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>D </SPAN
+></P>
+<P style="margin-bottom:-3px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0..1 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-12px; margin-left:159px; line-height:15px">
+<SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><IMG width=19 height=9 style="display:block; float:left; margin-bottom:-12px; margin-left:159px" src="images/common_im_img_4.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>archetype_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>ARCHETYPE_ID</SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>concept</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>DV_TEXT </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>is_archetype_root</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+></SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>template_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>TEMPLATE_ID </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>archetype </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-12px; margin-left:54px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>rm_version</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:9px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>_details </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:21px; text-indent:195px; line-height:13px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>originating</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>_
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0..1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>system_audi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>t 
+</SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:justify; margin-bottom:0px">
+<IMG width=44 height=8 style="display:block; float:left; margin-bottom:6px" src="images/common_im_img_5.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>FEEDER_AUDIT </SPAN
+></H5>
+<P style="text-align:justify; margin-bottom:0px; margin-left:223px">
+<IMG width=19 height=63 style="display:block; float:left; margin-bottom:6px; margin-left:223px" src="images/common_im_img_6.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>FEEDER_AUDIT_DETAILS </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:7px; line-height:13px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>feede</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>r 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>_audi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>t 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:238px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:43px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>originating_system_item_ids</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:265px">
+<SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>system_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List&lt;DV_IDENTIFIER&gt; </SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>location</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>PARTY_IDENTIFIED </SPAN
+></SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>feeder_system_item_ids</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-12px; margin-left:265px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>provider</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+> PARTY_IDENTIFIED </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:238px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0..1 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:43px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List&lt;DV_IDENTIFIER&gt; </SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>subject</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>PARTY_PROX</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Y </SPAN
+></SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>original_content</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-12px; margin-left:265px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>time</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+> DV_DATE_TIME </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:222px; line-height:13px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>feeder_ </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:43px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>DV_ENCAPSULATE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>D </SPAN
+></P>
+<P style="margin-bottom:-15px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>system_audit </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; margin-left:265px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>version_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+> String </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> rm.common.archetyped Package </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13928" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>The PATHABLE Class </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class defines the pathing capabilities used by nearly all classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, mostly via inheritance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The defining characteristics of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>objects are that they can locate child objects using paths, and they know their </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object in a compositional hierarchy. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> feature is defined as abstract in the model, and may be implemented in any way convenient. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A number of functions provide the path functionality, of which </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>item_at_path()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>items_at_path()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are the key functions. The former returns an item corresponding to a unique path, i.e. a path that resolves against the data structure to a single node. The latter returns a list of items corresponding to a non-unique path. These functions can be used safely using the following pattern, but can also be used without checking the validity of paths, if this is known </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a priori</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the code anyway. </SPAN
+></P>
+<P style="text-align:; margin-bottom:27px; margin-right:370px; margin-left:178px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>if path_exists(a_path) </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>{
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>if path_unique(a_path) </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>{
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>x := item_at_path(a_path</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:144px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>// process one item </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>}</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>else {</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>list_of_x := items_at_path(a_path)</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:144px; line-height:16px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>//iterate the list </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>}</SPAN
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>} </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13960" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>The LOCATABLE Class </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Most classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model inherit from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, which defines the idea of ‘locatability in an archetyped structure’. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> defines a runtime </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the standardised semantic code for a node and comes from the corresponding node in the archetype used to create the data. The only exception is at archetype root points in data, where </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> carries the archetype identifier in string form rather than an interior node id from an archetype. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> also provides the attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is non-Void for archetype root points in data, and carries meta-data relevant to root points. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute carries a name created at runtime. The ‘meaning’ of any node is derived formally from the archetype by obtaining the “text” value for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> code from the archetype ontology, in the language required. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> values in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance are often the same semantically, but may differ. For example, in  “problem/SOAP” Sections (i.e. headings), the name of a section at the problem level might be “diabetes”, but its meaning might be “problem”. The default value for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> should be assumed to be the text value in the local language for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> code on the node in question, unless explicitly set otherwise. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Unique Node Identification </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>descendants may have a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In the current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR architecture, uids are not needed to identify data nodes, since paths are used to reference all nodes inside top-level structures (i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPO-SITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> etc). Accordingly all references between parts of an EHR are represented in terms of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URIs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (the former is a reference to an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with a path appended; the latter is the stringified URI form). This would allow for example, one Entry to reference the serum sodium value in another Entry in version 2 of a Versioned Composition for a laboratory test on 12/Apr/2004. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute will usually be empty in most EHR data in most </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR systems. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The exception is the top-level types such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> etc for which it is recommended to set the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value to a copy of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the owning </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. This enables easy identification of standalone top-level objects in a serialised form </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another use for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is in EHR Extracts, which contain serialised expressions of EHR content. In an Extract, the uid could be set on some or all nodes to a value generated by concatenating the uid of the enclosing Version object (i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and the unique runtime path to the particular node. This may be useful to the receiver system for the purpose of referencing particular data nodes when communicating to the sender, or another system. This use of uids is not however mandatory, since for each node in an Extract item, the uid can be generated at any time (including at the receiver system). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:80px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Note: some classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR architecture that do not inherit from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> but require a uid, such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>etc, explicitly define their own </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_13981" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Feeder System Audit </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data in any part of the EHR may be obtained from a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>feeder</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> system, i.e. a source system which does not obey the versioning, auditing and content semantics of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR (data in the EHR which have been sourced from another </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system are dealt with in the Common IM, Change control section). The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class defines the semantics of an audit trail which is constructed to describe the origin of data that have been transformed into </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR form and committed to the system. There are a number of aspects to the problem of transforming data for committal into an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system, dealt with in the following subsections. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Requirements </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model of Feeder audit is designed to satisfy the following requirements with respect to EHR content sourced from non-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>record medico-legal audit information from the originating system (e.g. pathology lab system) similar to that captured in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>record information identifying the immediate system from which the content was obtained (might not be the originating system); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>record sufficient information to distinguish incoming items from each other, and to enable the detection of duplicates and new versions of the same item; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>allow the inclusion of the source content either as a link or inline. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Design Principles </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design of the Feeder audit part of the reference model is based on a generalised model of data communication in which various elements are identified, as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the originating system</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the computer system where the information item was initially created, </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the system at a pathology laboratory or a reporting system for a number of laboratories; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>intermediate systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: any system which moves information from the originating system to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the feeder system</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the intermediate system from which the information item was directly obtained by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system; this might be the originating system, or it may be a distinct intermediate system; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the committing openEHR system</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system where the information item is transformed into </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR form and committed as a Composition; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>openEHR converter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a component whose job it is to convert non-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR information into a form compliant with the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model and chosen archetypes; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original content store</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: some EHR systems may have an associated persistent repository of content as received from external systems, e.g. a message or document database. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:49px; line-height:19px">
+<A href="#LinkTarget_14035">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates these elements, shown as a “feeder chain”, along with typical meta-data available in messages from each system. In general, not much can be assumed about systems in the feeder chain. The originating system may or may not correspond to the place of the clinical activity - it is not uncommon for a pathology company to have a centralised report issuing location while having numerous physical laboratories. There is often limited consistency in the way identifiers are assigned, timestamps are created, and information is structured and coded. In general, information from a feeder system is in response to a request, often a pathology order, although the request/response pattern probably cannot be assumed in all cases. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:39px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=619 height=164 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/common_im_img_7.png">
+<P style="text-align:justify; margin-bottom:0px; margin-right:438px; margin-left:144px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>committing </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:135px; text-indent:-7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> subject_id(s) </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:135px; text-indent:-7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> version/update status </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract model of feeder chain </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The idea underlying the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Feeder audit model is that there are two groups of meta-data which should be recorded about an imported information item. The first is medico-legal meta-data about its creation: the system of origin, who created it and when  it was created. The second is identifying meta-data for the item from the originating and feeder system, and potentially other intermediate systems in the feeder chain, where necessary to support duplicate detection, version detection and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meta-data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The potentially available medico-legal meta-data about the received item is as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier of the originating system (where the item was originally committed); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier of the information item in the originating system; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>agent who committed the item; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>timestamp of committal or creation of the item; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type of change, e.g. initial creation, correction (including deletion of a subpart), logical deletion (e.g. due to cancellation of order); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>status of information, e.g. interim, final; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-right:93px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version id, where versioning is supported. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The above information is equivalent to the audit trail and versioning data captured when information created in an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system is committed in a Composition version. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Various kinds of identifying information may be required including the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject identifier (often more than one, e.g. national patient id, GP’s local patient id, lab’s local patient id) are usually recorded and may be required for traceability purposes; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject identifier(s) may identify someone other than the subject of the record as being the subject of the incoming item; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>location of the feeder system; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier of the feeder system (which may be one of many at the feeder system location); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifer the feeder system uses for the item in question (often known as an “accession id”); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier of request or order to which the information is a response (sometimes known as a “placer’s request id”); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:43px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier of the information item used by the originating system (sometimes known as a “filler’s request id”); </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>timestamp(s) assigned by feeder system to the item. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Some or all of this information will usually be sufficient to perform a number of tasks as follows. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Traceability </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The first task is to support medico-legal investigation into the path of the information item through the health computing infrastructure. This requires the availability of sufficient identifier information that the origin of the information item can be traced. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Subject identifiers where available should be used to ensure that the received data go into the correct EHR, by ensuring that the relevant lookups in client directories or other lookup mechanisms can be effected. Again, in rare cases, the subject of the incoming data item may not necessarily be the subject of the EHR - a test result may be made from a relative or other associate which will be stored in the patient’s EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Version Detection </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second is to detect new versions of an item (e.g. interim and final versions of a microbiology test result). This can usually be achieved by using various identifiers as well as the originating system version id and/or content status (interim, final etc). A new </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Composition version should always be created for each received version, even where the content does not change at all (e.g. a microbiology test where the result is “no growth” in both interim and final results). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Duplicate Detection </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another task is to disambiguate duplicates (often caused by failure of a network connection during sending) coming from the feeder system. In some cases however duplicates are erroneously given new ids by the feeder system, giving the receiver the impression of a new information. In such cases, a further item of meta-data may be required: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>hash or content signature generated (most likely by the converter) from the received information. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Differentially Coded Data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A further problem is that the originating system may send new versions of an item which are not complete in and of themselves, i.e. which only include new or changed elements with respect to a previous send of the same item. An example is a system which sends a correction to an HL7v2 blood test message, where the correction includes just the “serum sodium” data item. In this case, special processing will be required in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR converter component, in order to regenerate a full data item from difference data when it is received. Such processing may also have to take account of deleted items. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In summary, the Feeder audit class design tries to accommodate the recording of as much of the above meta-data as is relevant in any particular case. It is up to the design of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR conversion front-end components as well as proper analysis of the situation to determine which identifiers are germane to the needs of traceability. In general, any meta-data of medico-legal significance should be captured where it is available. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Using Feeder Audit in Converted Data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Although the design of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR converter is outside the scope of the current document, it is worth considering a common design approach, and where the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class fits in. An effective way of converting non-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data such as HL7v2 messages, relational data etc, is in two steps. The first is to perform a ‘syntactic’ conversion to Compositions containing instances of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class (described in the Integration IM), using ‘legacy archetypes’. The resulting database will contain versioned Compositions containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances; logically this </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>database does not contain EHRs but simply external data converted to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR computational form. The relevant </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances should be attached to the Compositions containing the corresponding </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances. The second step is to perform a ‘semantic’ conversion to subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, according to standardised clinical archetypes. There are various possibilities for what to do with the Feeder audit. The minimum Feeder audit required on the final instance contains the originating system audit information, but none of the information to do with feeder or intermediate systems. This will satisfy medico-legal needs. Alternatively, a complete copy could be made, even though the feeder-related meta-data is probably only of use in the conversion environment. What the Feeder audit looks like in the EHR proper may depend on local legislation, norms or other factors. Alternative conversion approaches are also possible, in which no intermediate form of data exists. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Structural Correspondence </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There is no guarantee that the granularity of information recorded in the feeder system obeys the rules of Entries, Compositions, etc. As a consquence, feeder information might correspond to any level of information defined in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. In order to be able to record feeder audit information correctly, the model has to be able to associate an audit trail with any granularity of object. For this reason, feeder audit information is attached to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, even though it is preferable by design to have it attached to the equivalent of Compositions or at least the equivalent of archetype entities (i.e. Compositions, Section trees and Entries). Its usual usage is to attach it to the outermost object to which it applies. In other words, in most cases, during a legacy data conversion process, the entirety of a Composition needs only one </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to document its origins. In exceptional cases, where feeder data comes in in near real time, e.g. from an ICU database, separate </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects may need to be generated for parts of a Composition; each commit in this situation will create a stack of versions of one Composition, with a growing number of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects attached to internal data nodes, each documenting the last import of data. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Feeder audit information is included as part of the data of the Composition, rather than part of the audit trail of version committal, because it remains relevant throughout the versioning of a logical Composition, i.e. when a new version is created, the feeder information is retained as part of the current version to be seen and possibly modified, just as for the rest of its content. If the main part of the content is modified so drastically as to make the feeder audit irrelevant, it too can be removed. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A second consequence of feeder and legacy systems is that structural data items may need to be synthesised in order to create valid structures, even though the source system does not have them. For example, a system may have the equivalent data of Clusters and Elements (see </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Structure IM or CEN EN13606), but no Entries, Sections or other higher-level data items; these have to be synthesised during conversion. To indicate synthesis of a data node, a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is attached to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in question, and its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to “synthesised”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Original Content </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:43px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The features of the model described so far allow accurate referencing of content as it is known in source systems and intermediate feeder systems. A further feature of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original_content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute allows the original content item itself to be either included inline or pointed to. If a link is used, the usual situation is that the content is in a store associated with the receiving system, such as a message or document database. The content could also be included inline. Since the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original_content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> link is on a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object, more than one can be used within the same generated Composition if required. It may be deemed preferable to attach only a single link at the top node, i.e. the Composition node, since this establishes basic equivalent between the whole Composition and the whole document or message. </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_14164" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_14165" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Class PATHABLE </SPAN
+></P>
+<TABLE style="margin-bottom:49px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PATHABLE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract parent of all classes whose instances are reachable by paths, and which know how to locate child object by paths. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> feature may be implemented as a function or attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:259px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:277px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>PATHABL</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>E </SPAN
+></TD>
+<TD style="width:277px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Parent of this node in compositional hierarchy. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:259px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:277px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:259px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path_of_item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (an_item: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>PATHA</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_item /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The path to an item relative to the root of this archetyped structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:259px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item_at_path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_path: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>An</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>y </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_path /=Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>path_unique(a_path) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The item at a path (relative to this item); only valid for unique paths, i.e. paths that resolve to a single item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:141px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:259px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items_at_path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_path: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>path /=Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>path_unique(a_path) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of items corresponding to a non-unique path. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:259px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_path: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path_valid: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_path /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> not a_path.is_empty </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if the path exists in the data with respect to the current item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:259px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path_unique</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_path: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path_valid: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_path /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> path_exists(a_path) </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if the path corresponds to a single item in the data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_14223" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Class LOCATABLE </SPAN
+></P>
+<TABLE style="margin-bottom:99px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>LOCATABLE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Root class of all information model classes that can be archetyped. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RECORD_COMPONENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_PLAIN_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Each record component includes a Synapses Object ID attribute to reference the Synapses Object (archetype) used as the basis for its construction. All record components include a name attribute intended for the same purpose as the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR equivalent. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:259px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:277px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>UID_BASED_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+<TD style="width:277px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional globally unique object identifier for root points of archetyped structures. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:253px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:253px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:253px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design-time archetype id of this node taken from its generating archetype; used to build archetype paths. Always in the form of an “at” code, e.g. “at0005”. This value enables a &quot;standardised&quot; name for this node to be generated, by referring to the generating archetype local ontology. At an archetype root point, the value of this attribute is always the stringified form of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> found in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Runtime name of this fragment, used to build runtime paths. This is the term provided via a clinical application or batch process to name this EHR construct: its retention in the EHR faithfully preserves the original label by which this entry was known to end users. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:259px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>archetype_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Details of archetyping used on this node. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>LOCATABLE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> FEEDER_AUDIT </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audit trail from non-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system of original commit of information forming the content of this node, or from a conversion gateway which has synthesised this node. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>links</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set &lt;LINK&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Links to other archetyped structures (data whose root object inherits from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and so on). Links may be to structures in other compositions. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:259px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:277px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:259px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_archetype_root</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:277px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this node is the root of an archetyped structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:259px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>concept</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_archetype_root </SPAN
+></TD>
+<TD style="vertical-align:top; width:277px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical concept of the archetype as a whole (= derived from the ‘archetype_node_id’ of the root node) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Name_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Links_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: links /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> links.empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Archetyped_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_archetype_root </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetype_details = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Archetype_node_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: archetype_node_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14303" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ARCHETYPED Class </SPAN
+></P>
+<TABLE style="margin-bottom:30px">
+<CAPTION  style="margin-bottom:30px">
+<P style="margin-bottom:30px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ARCHETYPED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:121px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes act as the configuration basis for the particular structures of instances defined by the reference model. To enable archetypes to be used to create valid data, key classes in the reference model act as “root” points for archetyping; accordingly, these classes have the archetype_details attribute set. An instance of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contains the relevant archetype identification information, allowing generating archetypes to be matched up with data instances </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_ARCHETYPED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:168px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses/ SynEx </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:168px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The SynEx approach does not distinguish between multiple layers of archetypes; hence an ‘archetype’ covers all information in an entire composition. Consequently, there is only one place where archetype identifiers in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR sense are used (at the top); all other archetype identifiers are equivalent to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The Synapses ObjectID attribute provides a unique reference to each fine-grained element of an archetype, and is therefore also functionally equivalent to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute at the root points in an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR structure. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ARCHETYPED </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:166px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:166px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The 1999 pre-standard does not include any equivalent to the archetype concept. However each architectural component must include a reference to an entry in the relevant normative table in the Domain Termlist pre-standard (part 2), to provide a high-level semantic classification of the component. All Architectural components include a component name structure to specify its label: the source of possible values for such a label was not clearly defined. The 2005 revision of EN 13606 explicitly includes archetype identification attributes in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RECORD_COMPONENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>archetype_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Globally unique archetype identifier. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>template_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TEMPLATE_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Globally unique template identifier, if a template was active at this point in the structure. Normally, a template would only be used at the top of a top-level structure, but the possibility exists for templates at lower levels. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rm_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model used to create this object. Expressed in terms of the release version string, e.g. “1.0”, “1.2.4”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>archetype_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: archetype_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rm_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rm_version /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> rm_version.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14356" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>LINK Class </SPAN
+></P>
+<TABLE style="margin-bottom:30px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>LINK </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:121px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type defines a logical relationship between two items, such as two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Links can be used across </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>composi</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>tions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and across EHRs. Links can potentially be used between interior (i.e. non archetype root) nodes, although this probably should be prevented in archetypes. Multiple </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINKs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can be attached to the root object of any archetyped structure to give the effect of a 1-&gt;N link </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1:1 and 1:N relationships between archetyped content elements (e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) can be expressed by using one, or more than one, respectively, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_LINKs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Chains of links can be used to see “problem threads” or other logical groupings of items. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Links should be between archetyped structures only, i.e. between objects representing complete domain concepts because relationships between sub-elements of whole concepts are not necessarily meaningful, and may be downright confusing. Sensible links only exist between whole </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSI-TIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and so on. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<CAPTION  style="margin-bottom:7px">
+<P style="margin-bottom:7px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>LINK </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Link Item class is a simplified form of the Synapses Link Item, permitting links to be established but with limited labelling and no representation for importance. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Link Item class provides the means to link any arbitrary parts of a single EHR, for the overall linkage network to be labelled and revised, and for each direct link to be labelled explicitly. An importance attribute provides guidance on how links should be handled if only part of a linkage network is requested by a client process. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>n/a </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACT_RELATIONSHIP</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class in some cases appears to correspond to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:224px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:224px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:224px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<A href="#LinkTarget_16411">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to describe the relationship, usually in clinical terms, such as “in response to” (the relationship between test results and an order), “follow-up to” and so on. Such relationships can represent any clinically meaningful connection between pieces of information. Values for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> include those described in Annex C, ENV 13606 pt 2 [11] under the categories of “generic”, “documenting and reporting”, “organisational”, “clinical”, “circumstancial”, and “view management”. </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:141px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is used to indicate a clinical or domain-level meaning for the kind of link, for example “problem” or “issue”. If type values are designed appropriately, they can be used by the requestor of EHR extracts to categorise links which must be followed and which can be broken when the extract is created. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI </SPAN
+></TD>
+<TD style="width:322px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The logical “to” object in the link relation, as per the linguistic sense of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Meaning_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: meaning /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Target_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: target /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H3 ID="LinkTarget_14428" style="text-align:center; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>FEEDER_AUDIT Class </SPAN
+></H3>
+<IMG width=651 height=72 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/common_im_img_8.png">
+<P style="margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audit and other meta-data for systems in the feeder chain. </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>FEEDER_AUDIT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:225px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:313px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>originating_system_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT_DETAILS </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any audit information for the information item from the originating system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>originating_system_item_ids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;DV_IDENTIFIER&gt; </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers used for the item in the originating system, e.g. filler and placer ids. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>feeder_system_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT_DETAILS </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any audit information for the information item from the feeder system, if different from the originating system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>feeder_system_item_ids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;DV_IDENTIFIER&gt; </SPAN
+></TD>
+<TD style="width:313px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers used for the item in the feeder system, where the feeder system is distinct from the originating system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>original_content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>DV_ENCAPSULATE</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional inline inclusion of or reference to original content corresponding to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR content at this node. Typically a URI reference to a document or message in a persistent store associated with the EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Originating_system_audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: originating_system_audit /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14470" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>FEEDER_AUDIT_DETAILS Class </SPAN
+></P>
+<TABLE style="margin-bottom:56px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>FEEDER_AUDIT_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audit details for any system in a feeder system chain. Audit details here means the general notion of who/where/when the information item to which the audit is attached was created. None of the attributes is defined as mandatory, however, in different scenarios, various combinations of attributes will usually be mandatory. This can be controlled by specifying feeder audit details in legacy archetypes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of the system which handled the information item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional provider(s) who created, committed, forwarded or otherwise handled the item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>location</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> PARTY_IDENTIFIED </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of the particular site/facility within an organisation which handled the item. For computability, this identifier needs to be e.g. a PKI identifier which can be included in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Archetyped Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:647px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>FEEDER_AUDIT_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time of handling the item. For an originating system, this will be time of creation, for an intermediate feeder system, this will be a time of accession or other time of handling, where available. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>PARTY_PROX</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>Y </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers for subject of the received information item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:313px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any identifier used in the system such as “interim”, “final”, or numeric versions if available. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>System_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: system_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>system_id.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Archetyped Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_14552" style="text-align:justify; margin-bottom:27px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Generic Package </SPAN
+></P>
+<P ID="LinkTarget_14553" style="text-align:justify; margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The classes presented in this section are abstractions of concepts which are generic patterns in the domain of health (and most likely other domains), such as ‘participation’ and ‘attestation’. The generic cluster is illustrated in </SPAN
+><A href="#LinkTarget_14557">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 4. </SPAN
+></A>
+</P>
+<IMG width=621 height=620 style="display:block; float:none; text-align:center; margin-bottom:267px" src="images/common_im_img_9.png">
+<P style="margin-bottom:131px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.common.generic Package </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Generic Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_14570" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Principles </SPAN
+></P>
+<P ID="LinkTarget_14571" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Referring to Demographic Entities </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are two ways to refer to a demographic identity in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR: using </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>directly, which records an identifier of the party in some external system, and using </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, consisting of a small amount of descriptive data, depending on the subtype, and an optional </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The semantics of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are described in the Common IM, identification package, while the semantics of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and use of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in such entities are described below. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach taken in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR for representing demographic and user entities in the EHR data is based on the following assumptions: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>there is at least one human readable name or official identifier of the party, such as “Julius Marlowe, MD”, “NHS provider number 1039385”, or a system user id such as “Rahil.Azam”; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>there might be data in a service external to the EHR for the party in question, such as a demographic, identity management or patient index service; if there is, it should be referenceable; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the subject of the record is never to be identified in any direct way (i.e. via the use of her name or other human-readable details), but may include a meaningless identifier in some external system. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class and subtypes model references to parties based on these assumptions. The semantics of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> enable a flexible approach: in stricter environments that have identity management and demographic services, and where there is an entry in such a service for the party in question, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will be non-Void, while in other environments, it will be empty. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The two subtypes correspond to the mutually distinct categories of the ‘subject of the record’, known as the ‘self’ party in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, and any other party. Whenever the record subject has to be referred to in the record, an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used, while </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used for all other situations. The latter class provides for optional human-readable </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>names</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and formal </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifiers</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, each keyed by purpose or meaning. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type is used whenever the relationship of the party to the record subject is required. Relationships are coded and include familial ones (‘mother’, ‘uncle’, etc) as well as relationships like ‘donor’, ‘travelling companion’ and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_SELF and Referring to the Patient from the EHR </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are three schemes which are likely to be used for referring to patient (i.e. the record subject) demographic or patient master index (PMI) data from within the EHR, each likely to be valid in different circumstances. Each uses a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object but with varying usage of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute, and are as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is not set on any instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. nowhere in the EHR. This is the most secure approach, and means that the link between the EHR and the patient has to be done outside the EHR, by associating </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ehr_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and the patient demographic/PMI identifier. This approach is more likely in more open data sharing environments. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:43px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is set once only in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Since the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object is separate from the EHR contents, the root instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will generally not be visible. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Setting the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in every instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; this solution makes the patient </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> visible in every instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is reasonable in a secure environment, and convenient for copying parts of the record around locally. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All three schemes are supported by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model, and will probably all find use in different settings and EHR deployment types. </SPAN
+></P>
+<P ID="LinkTarget_14617" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Participation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Participation abstraction models </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the interaction of some Party in an activity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference models, participations are actually modelled in two ways. In situations where the kinds of participation are known and constant, they are modelled as a named attribute in the relevant reference model. For example, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>models a participation in which the function is “committal”. Where the kind of participation is not known at design time, the generic </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is used. This class refers to a Party via a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instsance, and records the function, time interval and (coded) mode of the participation. It can be used in any other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR information model as required. </SPAN
+></P>
+<P ID="LinkTarget_14619" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Audit Information </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Audit Details </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Three classes are provided to represent audit information. The first, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> expresses the details that would be captured about a user when committing some information to a repository of some kind, which may be version controlled. It records committer, time, change type and description. Committer is recorded using a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, allowing for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be used when the committer is the record subject, and for other identifying information to be included for other users, expressed using </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The kind of identifying information used in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instances in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> may be different from that used in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or elsewhere, i.e. in the form of a system login identifier, e.g. “maxime.lavache@stpatricks.health.ie”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Revision History </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> express the notion of a revision history, which consists of audit items, each associated with a revision number. An instance of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is designed to express the information that corresponds to an item in a revision history, i.e. a list of all audits relating to some information item. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is included to indicate which revision each audit corresponds to. These classes provide an interoperable definition of revision history for the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> classes. </SPAN
+></P>
+<P ID="LinkTarget_14624" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Attestation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Attestation is another concept which occurs commonly in health information. An attestation is an explicit signing by one healthcare agent of particular content for various particular purposes, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for authorisation of a controlled substance or procedure (e.g. sectioning of patient under mental health act); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>witnessing of content by senior clinical professional; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>indicating acknowledgement of content by intended recipient, e.g. GP who ordered a test result. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Here it is modelled as a subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, meaning that it is logically a kind of audit, with additional information pertinant to the act of signing. The contents of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are as follows: </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the identity of the attesting party (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the date and time of the action of attestation (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time_committed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>references to items in the record being attested to (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); if this list is empty, the attestation is for the entire object (usually the content of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) to which the attestation is attached, otherwise the list must contain a set of paths to items within the item to which the attestation is attached; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>an optionally coded reason for attestation (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reason</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:-3px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>an optional literal view of the the content attested, e.g. a binary screen image; </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:-7px; text-indent:36px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a proof of attestation in the form of a digital signature by the attesting party. The digital signature, if present, is generated using the IETF RFC 2440 (openPGP)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> standard as, </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px; margin-left:312px; text-indent:-311px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>according to the process shown in </SPAN
+><A href="#LinkTarget_14698">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. attester’s private key </SPAN
+></P>
+<IMG width=171 height=313 style="display:block; float:none; margin-bottom:4px" src="images/common_im_img_10.png">
+<IMG width=124 height=21 style="display:block; float:none; text-align:center; margin-bottom:-22px" src="images/common_im_img_11.png">
+<IMG width=63 height=77 style="display:block; float:none; text-align:right; margin-bottom:7px" src="images/common_im_img_12.png">
+<P style="text-align:left; margin-bottom:0px; margin-right:143px; line-height:10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>xxxx=&lt;&gt; yyyy= &lt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:114px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#CF3BFB"
+>Hash </SPAN
+></P>
+<P style="text-align:left; margin-bottom:3px; margin-left:7px; line-height:10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>zzz=&lt;“wdifwbdfiwdufw”&gt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:105px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#CF3BFB"
+>(e.g.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#CF3BFB"
+> MD5) </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-right:77px; text-indent:7px; line-height:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>ww=&lt;1992-04-12T12:01:00&gt; aaa= &lt;fwefub&gt; bb=&lt;“*J&amp;h5g8biB9i8h”&gt; </SPAN
+></P>
+<IMG width=29 height=71 style="display:block; float:none; text-align:right; margin-bottom:4px; margin-left:142px" src="images/common_im_img_13.png">
+<IMG width=88 height=39 style="display:block; float:none; text-align:right; margin-bottom:-11px" src="images/common_im_img_14.png">
+<IMG width=60 height=36 style="display:block; float:none; text-align:center; margin-bottom:7px" src="images/common_im_img_15.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#CF3BFB"
+>radix-64 </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#CF3BFB"
+>ASCII</SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>ccc=&lt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>ddd=&lt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>eee=&lt;124&gt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:14px; line-height:10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>fff=&lt;“wdfiubwiefug”&gt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-right:77px; text-indent:7px; line-height:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:6.9pt; font-weight:normal; color:#0000FF"
+>&gt; &gt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; text-indent:13px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>canonical serialised form </SPAN
+></P>
+<IMG width=209 height=183 style="display:block; float:none; text-align:right; margin-bottom:22px" src="images/common_im_img_16.png">
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Attestation signature generation (using openPGP) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In this process, the attestation object is serialised into a canonical text form, and then hashed to create a digest. A digital signature is created from the hash, using the user’s private key. The result is then radix-64 encoded to create an ASCII string so as to remove or reduce potential problems with subsequent communication. The openPGP standard ensures that the transformations and algorithms used to create the signature are indicated within it (i.e. the signature is self-describing). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The serialisation process works by the simple rule of serialising the entire Attestation object (note that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>proof</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute will be Void at this point) into an agreed XML, dADL or other text format, then applying the subsequent transformations to the serialised data, then writing the digest result back into </SPAN
+></P>
+<TABLE style="margin-bottom:30px">
+<TR>
+<TD style="vertical-align:top; width:172px; height:99px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>proof</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Determined: </SPAN
+></TD>
+<TD style="width:476px; height:99px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>The exact serialisation is not yet defined by </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:12pt; font-style:italic; font-weight:normal; color:#FF00FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>EHR, but dADL might be preferred since ithas an unambiguous encoding of object struc</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+></SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:172px; height:33px"/>
+<TD style="vertical-align:bottom; width:476px; height:33px">
+<A href="http://www.ietf.org/rfc/rfc2440.txt">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. See </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/rfc/rfc2440.txt </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:192px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>tures, whereas XML libraries generate differentXML from the same objects. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Normally the list of items being attested should be a single Entry or Composition, but there is nothing stopping it including fine-grained items, even though separate attestation of such items does not appear to be commensurate with good clinical information design or process. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reason</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is used to indicate why the attestation occurred, and is coded using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology group “attestation reason”, which includes values such as “authorisation” and “witnessed”. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute marks the attestation as either having been done or awaiting completion depending on its value. This facilitates querying the record to find items needing to be signed or witnessed. When an attestation is required, the most common scenario will be that a Composition Version will be committed with a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, rather than just </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> flag will be set to True to indicate that the committed information needs to be signed by another person. When signing occurs, it will cause a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object to be added to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list, this time with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to False, and the appropriate proof supplied. Thus, the common situation in which content is committed to the record and needs later review and signing by a senior person will cause the creation of two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects. </SPAN
+></P>
+<P ID="LinkTarget_14728" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_14729" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_PROXY Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_PROXY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract concept of a proxy description of a party, including an optional link to data for this party in a demographic or other identity management system. Sub-typed into </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional reference to more detailed demographic or identification information for this party, in an external system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14748" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_SELF Class </SPAN
+></P>
+<TABLE style="margin-bottom:44px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_SELF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Party proxy representing the subject of the record. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to indicate that the party is the owner of the record. May or may not have </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_SELF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:232px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:306px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14789" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_IDENTIFIED Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_IDENTIFIED </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Proxy data for an identified party other than the subject of the record, minimally consisting of human-readable identifier(s), such as name, formal (and possibly computable) identifiers such as NHS number, and an optional link to external data. There must be at least one of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifier</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> present. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to describe parties where only identifiers may be known, and there is no entry at all in the demographic system (or even no demographic system). Typically for health care providers, e.g. name and provider number of an institution. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Should not be used to include patient identifying information. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional human-readable name (in String form). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>identifiers</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;DV_IDENTIFIER&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One or more formal identifiers (possibly computable). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Basic_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> identifiers /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> external_ref /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Name_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Identifiers_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: identifiers /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifiers.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14821" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_RELATED Class </SPAN
+></P>
+<TABLE style="margin-bottom:76px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_RELATED </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Proxy type for identifying a party and its relationship to the subject of the record. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Use where the relationship between the party and the subject of the record must be known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:264px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_RELATED </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:273px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>relationship</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:264px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationship of subject of this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to the subject of the record. May be coded. If it is the patient, coded as “self”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Relationship_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: relationship /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr). has_code_for_group_id(Group_id_subject_relationship, relation-ship.defining_code) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_14862" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTICIPATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:104px">
+<CAPTION  style="margin-bottom:104px">
+<P style="margin-bottom:104px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTICIPATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Model of a participation of a Party (any Actor or Role) in an activity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to represent any participation of a Party in some activity, which is not explicitly in the model, e.g. assisting nurse. Can be used to record past or future participations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Should not be used in place of more permanent relationships between demographic entities. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RIM Participation class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:193px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>performer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The id and possibly demographic system link of the party participating in the activity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The function of the Party in this participation (note that a given party might participate in more than one way in a particular activity). This attribute should be coded, but cannot be limited to the HL7v3:ParticipationFunction vocabulary, since it is too limited and hospital-oriented. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The mode of the performer / activity interaction, e.g. present, by telephone, by email etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL &lt;DV_DATE_TIME&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The time interval during which the participation took place, if it is used in an observational context (i.e. recording facts about the past); or the intended time interval of the participation when used in future contexts, such as EHR Instructions. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=649 height=199 style="display:block; float:none; text-align:center; margin-bottom:46px" src="images/common_im_img_17.png">
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Performer_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: performer /= Voi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Function_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: function /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and the</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>n 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>function.generating_type.is_equal(“DV_CODED_TEXT”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implie</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>s 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_for_group_id(Group_id_participation_function, function.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Mode_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: mode /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> terminology(Terminology_id_openehr)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_for_group_id(Group_id_participation_mode, mode.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+></P>
+<P ID="LinkTarget_14921" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>AUDIT_DETAILS Class </SPAN
+></P>
+<TABLE style="margin-bottom:79px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>AUDIT_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The set of attributes required to document the committal of an information item to a repository. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_COMMIT_AUDIT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identity of the system where the change was committed. Ideally this is a machine- and human-processable identifier, but it may not be. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> PARTY_PROXY </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identity and optional reference into identity management service, of user who committed the item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_committed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time of committal of the item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type of change. Coded using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology “audit change type” group. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reason for committal. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:139px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:139px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>System_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: system_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>system_id.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Committer_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: committer /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Time_committed_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: time_committed /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Change_type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: change_type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr). has_code_for_group_id(Group_id_audit_change_type, change_type.defining_code) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:405px; height:14px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</TH>
+<TH style="text-align:right; width:243px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="width:405px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:243px; height:22px">
+<A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 2.1.0 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_14983" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.7 </SPAN
+></TH>
+<TD style="text-align:right; vertical-align:bottom; width:348px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ATTESTATION Class </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:243px; height:26px"/>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ATTESTATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Record an attestation of a party (the committer) to item(s) of record content. The type of attestation is </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>attested_view</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional visual representation of content attested e.g. screen image. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>proof</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Proof of attestation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:141px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Set &lt;DV_EHR_URI&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Items attested, expressed as fully qualified runtime paths to the items in question. Although not recommended, these may include fine-grained items which have been attested in some other system. Otherwise it is assumed to be for the entire </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with which it is associated. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>reason</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reason of this attestation. Optionally coded by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology group “attestation reason”; includes values like “authorisation”, “witness” etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this attestation is outstanding; False means it has been completed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Reason_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: reason /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (rea-son.generating_type.is_equal(“DV_CODED_TEXT”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> terminology(Terminology_id_openehr).has_code_for_group_id(Group_id_attestation_rea son, reason.defining_code)) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_15023" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>REVISION_HISTORY Class </SPAN
+></P>
+<TABLE style="margin-bottom:34px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>REVISION_HISTORY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines the notion of a revision history of audit items, each associated with the version for which that audit was committed. The list is in most-recent-first order. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="text-align:center; width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="text-align:center; width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List &lt;REVISION_HISTORY_ITEM&gt; </SPAN
+></TD>
+<TD style="text-align:center; width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The items in this history in most-recent-last order. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="text-align:center; width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>REVISION_HISTORY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:225px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>most_recent_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result.is_equal (items.last.version_id.value) </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The version id of the most recent item, as a String. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:225px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>most_recent_version_time_co mmitted</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result.is_equal (items.last.audits.first. time_committed.value) </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The commit date/time of the most recent item, as a String. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_15070" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>REVISION_HISTORY_ITEM Class </SPAN
+></P>
+<TABLE style="margin-bottom:289px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>REVISION_HISTORY_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An entry in a revision history, corresponding to a version from a versioned container. Consists of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances with revision identifier of the revision to which the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> intance belongs. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:225px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:313px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:225px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audits</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;AUDIT_DETAILS&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The audits for this revision; there will always be at least one commit audit (which may itself be an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), there may also be further attestations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:225px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:313px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version identifier for this revision. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: audits /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> audits.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_id /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Directory Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15105" style="text-align:justify; margin-bottom:27px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Directory Package </SPAN
+></P>
+<P ID="LinkTarget_15106" style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>directory</SPAN
+><A href="#LinkTarget_15113">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is illustrated in FIGURE 6. It provides a simple abstraction of a versioned </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>folder structure. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is the binding of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. it is a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;FOLDER&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This means that each of its versions is a Folder structure rather than a single Folder. It provides a means of versioning </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>structures over time, which is useful in the EHR, Demographics service or anywhere else where Folders are used to group things. A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance contains more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s and/or items, which are references to other (usually versioned) objects. A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure is therefore like a directory containing references to objects. Since they are references, multiple references to the same object are possible, allowing the structure to be used to mutiply classify other objects. If it is used with </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITIONs </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for example, the folders might be used to represent episodes and at the same time problem groups. </SPAN
+></P>
+<IMG width=421 height=169 style="display:block; float:none; text-align:center; margin-bottom:26px" src="images/common_im_img_18.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:149px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>common.directory Package </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structures inside the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are archetypable structures, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetypes can be created in the same fashion as say </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetypes for the EHR. </SPAN
+></P>
+<P ID="LinkTarget_15115" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Paths </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Directory paths are built using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute values inherited from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> into each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. In real data, these will usually be derived from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute, plus a uniqueness modifier if required. Example paths (e.g. within the EHR): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>/folders[hospital episodes]/items[1</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>]
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>/folders[patient entered data]/folders[diabetes monitoring</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>]
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>/folders[homeopathy contacts</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>]
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Uniqueness modifiers are appended in brackets, and are only needed to differentiate folders at the same node that would otherwise have the same names, e.g. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:170px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>[hospital episodes</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>]
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>[hospital episodes(car accident Aug 1998)</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#007E00"
+>] 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Directory Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15137" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_15138" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSIONED_FOLDER Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_FOLDER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A version-controlled hierarchy of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDERs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> giving the effect of a directory. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT &lt;FOLDER&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_15156" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>FOLDER Class </SPAN
+></P>
+<TABLE style="margin-bottom:307px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>FOLDER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The concept of a named folder. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RecordFolder class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>folders</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;FOLDER&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sub-folders of this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The list of references to other (usually) versioned objects logically in this folder. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Folders_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: folders /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> folders.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 40 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15202" style="text-align:justify; margin-bottom:27px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Change Control Package </SPAN
+></P>
+<P ID="LinkTarget_15203" style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As described in the Architecture Overview document, formal version control and change management are used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR to support the construction of EHR and other repositories requiring the properties of consistency, indelibility, traceability and distributed sharing. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package supplies the formal specification of these features in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<A href="#LinkTarget_15214">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model of a Versioned object, and its constituent Versions. In this model, an instance of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> provides the versioning facilities for one versioned item and is often referred to as a ‘version container’. Although any kind of data can be versioned according to the model presented here, the use of versioning in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is limited to ‘toplevel structures’, such as EHR Compositions and Party objects in a demographic system. </SPAN
+></P>
+<IMG width=619 height=712 style="display:block; float:none; text-align:center; margin-bottom:11px" src="images/common_im_img_19.png">
+<P style="margin-bottom:53px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.common.change_control Package </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 41 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<A href="#LinkTarget_15226">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 8</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> containing a number of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Although the figure implies physical containment of Versions by a Versioned object, this is only one possible implementation. Other implementations (e.g. using orthodox relational structures) might use references, separate compressed copies, or any other mechanism. </SPAN
+></P>
+<IMG width=631 height=156 style="display:block; float:none; text-align:center; margin-bottom:4px" src="images/common_im_img_20.png">
+<P style="text-align:justify; margin-bottom:6px; margin-left:106px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Version container a single V</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>ersion </SPAN
+></P>
+<P style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Version-control structures </SPAN
+></P>
+<P ID="LinkTarget_15227" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Basic Semantics </SPAN
+></P>
+<P ID="LinkTarget_15228" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Typing </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>are generic classes, with the generic parameter type T being the type of the data. This ensures that all versions in a given </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are of the same type, such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and that the version container itself is properly typed. </SPAN
+></P>
+<P ID="LinkTarget_15230" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Versioned Objects </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> has a unique identifier recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute (a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>typically containing a GUID), and a reference to the owning object (e.g. the owning EHR) in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute (this is typically also a GUID). The latter helps ensure that in storage systems, Versioned objects are always correctly allocated to their enclosing repository, such as an EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are in the form of a collection of instances of the two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VER</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtypes, and are available only via the functional interface of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. How the representation of this collection is implemented inside the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is not defined by this specification, only the form of any given Version is. Implementations of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>might range from the simple (all versions stored as full copies in a list) to a sophisticated compressed versioning approach as used in software file version control and some object databases. (The persistent data format of implementations of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> developed by different organisations will in general be incompatible. For purposes of sharing, an interoperable expression of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is defined by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class in the EHR Extract IM.) </SPAN
+></P>
+<P ID="LinkTarget_15234" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Version and its Subtypes </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Within a Versioned object, each version is an instance of a subtype of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The abstract </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class defines the generic notion of a version containing some </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, that has been committed to the repository as a member of a Contribution. Accordingly, it records the Contribution in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute and the audit in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. A Version also knows its position in the version tree within the container. It has a version identifier, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and knows on which version in the tree it was based (i.e. what version was “checked out” to create the current version), </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 42 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (Void if it is the first version). Both of these identifiers are globally unique (see </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>support.identification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package). These properties are abstract in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, since they are defined as being stored or computed respectively in its subtypes. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All Versions in a given version container have a uid that includes the uid of the container; in other words, the uid of a Version is its container’s uid plus further version identification for that particular version with respect to others in the same container. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function extracts the uid of the owning </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class has two subtypes. The first, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, represents a Version created with original content (stored form of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> property) at the time of creation (including from non</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR local feeder systems), and potentially attested (signed). It includes as attributes the current version (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and the preceding version (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). It also knows the lifecycle state of </SPAN
+><A href="#LinkTarget_15592">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>its content. If it was the result of a merge (see Version Merging on page 52) of versions other than the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding version, the identifiers of these versions will be recorded in the attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_input_version_uids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. All instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in non-distributed </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems will be instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is also the unit of copying in a distributed environment. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second subtype is </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and acts as a wrapper of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. It has its own </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (inherited from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VER</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), and contains the original version being imported in its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. Its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are defined as functions, returning the corresponding attribute values from the wrapped </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object (in other words, an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> does not have its own version identifier distinct from the version it is wrapping). The semantics of importing are described below in </SPAN
+><A href="#LinkTarget_15522">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Copying on page 50</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+><A href="#LinkTarget_15257">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 9</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates typical arrangements of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects within </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, in turn within an EHR (if this is an EHR system), ultimately within an identified system. The two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are shown representing “medications” and “problem list”, to give some idea of correspondence of versioning structures to logical data. Star icons represent digital signatures. </SPAN
+></P>
+<IMG width=620 height=305 style="display:block; float:none; text-align:center; margin-bottom:4px" src="images/common_im_img_21.png">
+<P style="margin-bottom:75px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Instance view of versioned data </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 43 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15270" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>The “Virtual Version Tree” </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An underlying design concept of the versioning model defined here is known as the ‘virtual version tree’. The idea is simple in the abstract. Information is committed to a repository (such as an EHR) in lumps, each lump being the ‘data’ of one Version. Each Version has its place within a version tree, which in turn is maintained inside a Versioned object. The virtual version tree concept means that any given Versioned object may have numerous copies in various systems, and that the creation of versions in each is done in such a way that all versions so created are in fact compatible with the ‘virtual’ version tree resulting from the superimposition of the version trees of all copies. This is achieved using simple rules for version identification, described below, and is done to facilitate data sharing. Two very common scenarios are served by the virtual version tree concept: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>longitudinal data that stands as a proxy for the state or situation of the patient such as “Medications” or “Problem list” (persistent Compositions in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR) is created and maintained in one or more care delivery organisations, and shared across a larger number of organisations; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>some EHRs in an EHR server in one location are mirrored into one or more other EHR servers (e.g. at care providers where the relevant patients are also treated); the mirroring process requires asynchronous synchronisation between servers to work seamlessly, regardless of the location, time, or author of any data created. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is in fact the uid of the virtual version tree for a given logical item (such as the “problem list” of a certain patient) - that is to say, the uid will be the same in all copies of the same Versioned object in a distributed system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The versioning scheme used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR guarantees that no matter where data are created or copied, there are no inconsistencies due to sharing, and that logical copies are explicitly represented. This is achieved by the design of Version identifiers. </SPAN
+></P>
+<P ID="LinkTarget_15283" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Contributions </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Since a versioned repository (i.e. a collection of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s) is by definition indelible, all </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>logical</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> changes including deletions, additions, modifications (including error corrections and content changes), importing and attestations of existing items, are achieved by physically committing new Versions, or for attestations, new Attestation objects to existing Versions. Each logical type of change is achieved as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>addition of new item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is created with a first </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the new item; the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for ‘creation’ </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>deletion of existing item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is set to Void is added to an existing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for ‘deleted’; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>modification of existing item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contains the updated form of the item content is added to an existing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>if the change is logically a correction (e.g. of wrongly entered data), the </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘amendment’; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:49px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>if the change is logically a change, addition etc to the content, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for ‘modification’; </SPAN
+></P>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 44 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>import of item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is created, incorporating the received </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for ‘creation’. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestation of item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is added to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list of an existing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the code for ‘attestation’. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In a typical application situation, one or more of the above changes may be committed to a repository as a Contribution. For example during a patient encounter, the following might occur: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>addition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a new Composition is created recording the Observations (e.g. physical examination), etc that are made during the Encounter; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>modification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the Composition containing the current medications list is updated, due to a prescription being given during the encounter. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These two changes together constitute a logical ‘change-set’, and would typically be included in the one Contribution. In general, there might be any combination of the logical change types in a single commit by an application, corresponding to a single real-world business event, such as a GP Encounter, although attestations, deletions and corrections will usually be the only change within a Contribution. In every case, regardless of the combination, a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTRIBUTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object will be created, listing the affected </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects, and including its own audit object. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The list of all Contribution objects for a version repository (such as an EHR) provides a complete history of the change-sets made to the repository and is the basis for performing ‘rollback’ to access previous informational states of the EHR. Conversely, each Version object contains a reference to the Contribution that caused it to be created. </SPAN
+></P>
+<P ID="LinkTarget_15340" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Committal and Audits </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audits are recorded in the form of instances of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>common.generic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package), which defines a set of attributes which form an audit trail, namely </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time_committed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or its subtype </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which adds a number of other attributes (see below). When an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is created locally, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute contains an audit object recording the local act of committal. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>However, if the Version being committed does not correspond to local data creation, but instead contains a copy of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> originally created and commited elsewhere, it is committed locally as an instance of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. Both the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the latter object correspond to the local act of committal, while the knowledge of the original Contribution and committal are retained inside the wrapped </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. Original versions can be copied any number of times; in each system into which they are imported, an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is created as a wrapper. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This simple scheme ensures that the audit from initial creation - which is the clinically meaningful audit - is preserved no matter how many times the Version is copied to other systems; it also ensures that from the point of view of the version container, the local commit audit and Contribution always correspond to the local act of committal. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTRIBUTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class also contains an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. Whenever a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTRIBUTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is committed, this attribute captures to the time, place and committer of the committal act; these three attributes (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time_committed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) should be copied into the corresponding attributes of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>included in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTRIBUTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is done to enable sharing of versioned entities independently of which Contributions they were part of. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 45 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time_committed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute in both the Contribution and Version audits should reflect the time of committal to an EHR server, i.e. the time of availability to other users in the same system. It should therefore be computed on the server in implementations where the data are created in a separate client context. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In terms of database management, Contributions are similar to nested transactions. An attempt to commit a Contribution should only succeed if each Version and/or Attestation in the Contribution is committed successfully. </SPAN
+></P>
+<P ID="LinkTarget_15360" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Digital Signature </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>At the time of committal of a Version, a digital signature of the object can be made. In this process, a Version object (an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) is serialised into canonical form which is then hashed to produce a digest. If public key or equivalent infrastructure is in place so that users are able to sign content, a digital signature can be created from the hash, using the user’s private key. Either way, the result is then radix-64 encoded to create an ASCII string so as to remove or reduce potential problems with subsequent communication. The openPGP standard ensures that the trasformations and algorithms used to create the signature are indicated within it. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The signature can serve two purposes. If only the hashing step is done, the digest acts as a data integrity check, indicating if the data have been tampered with after creation. If the signing step is carried out, it authenticates the user as the author of the content to readers of the content. In a versioned EHR system, it also acts as a non-repudiation measure, since the signature is stored permanently with the data. To circumvent hacking of the data, public notarisation of the signature can be used. The signature, if present, is generated according to the IETF RFC 2440 (openPGP)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> standard, following the process shown in </SPAN
+><A href="#LinkTarget_15367">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 10</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<IMG width=628 height=389 style="display:block; float:none; text-align:center; margin-bottom:16px" src="images/common_im_img_22.png">
+<P style="margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.ietf.org/internet-drafts/draft-ietf-openpgp-rfc2440bis-18.txt">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/internet-drafts/draft-ietf-openpgp-rfc2440bis-18.txt </SPAN
+></A>
+</SPAN
+></P>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 46 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The serialisation process works by the simple rule of serialising the entire Version object (note that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>signature</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute will be Void at this point) into an agreed XML, dADL or other text format, then applying the subsequent transformations to the serialised data, then writing the digest result back into the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>signature</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. If the object to be serialised is an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, the process is the same - all attributes of the object are serialised and then used to generate a signature. The result will be that the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance will carry its own signature which signifies the act of importing and making available locally an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from another system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:96px; text-indent:-95px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Determined: The exact serialisation is not yet defined by</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:12pt; font-style:italic; font-weight:normal; color:#FF00FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>EHR, but dADL might be preferred since it has an unam</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>biguous encoding of object structures, whereas differentXML libraries can generate different XML from the sameobjects. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It should be noted that the signing process here creates a signature of a logical form of the content, not a particular graphical or other directly human interpretable view. Usually the relationship between the data and what is seen on the screen is assumed to be 1:1 in a reliable system. If however the equivalent of a signature of a screen image or other literal form of the data are needed, then the Attestation form of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is needed. This is described below. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the most important uses of signatures in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data is likely to be within EHR Extracts, since they can provide an assurance authenticity and integrity of the data to a receiver who has no knowledge of the quality of the processes used in the originating system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The signing computation has to be performed on the server side of a system, just prior to committal, since one of the data elements included in the signed content is the committal timestamp. </SPAN
+></P>
+<P ID="LinkTarget_15389" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Attestation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestations </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute allows attestations to be associated with the data in an original version. Attestations are treated in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR as a kind of audit with additional attributes, and are described in detail in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>common.generic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package section of the Common IM. Any number of attestations to be associated with each Version in a Versioned object. Attestations can be added at any time after committal of the content being attested. They can be used as required by enterprise processes or legislation, and indicate by whom and when the item in question was attested. A digital “proof” is also required, although no assumption is made about the form of such proof. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Attestations may be used in different ways as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Signing content at committal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: for some reason, the information being committed needs to be digitally signed. It may be that sensitive information is to be added to the EHR, e.g. recording the fact of sectioning of a patient under the mental health act, diagnosis of a fatal disease etc, or simply something which the user wants to sign. In this case, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> rather than </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></LI>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Marking content for review and signing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data entered and committed by a data-entry person </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>e.g. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a secretary, transcriptionist or student need to be reviewed and signed by a senior clinician. Similarly to the above case, this will cause </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, but in this case, the Attestation will have its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> flag set True to indicate that attestation is required. </SPAN
+></LI>
+</ul>
+<LI style="list-style-type:disc; margin-bottom:27px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Post-committal signing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data committed with an Attestation in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_pending</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> state is reviewed and signed at a later point in tme by an appropriate member of staff. This action will cause an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be added to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 47 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Normally, Attestations refer to the entire version to which they are attached. However, it is possible for an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance to refer to some finer-grained item within the data of the version, such as a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> within a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When subsequent Versions are added, the existing Attestations can not be assumed to be valid for the new Version, since the nature of an attestation is that it records the witnessing of exactly the content displayed at the time of witnessing. </SPAN
+></P>
+<P ID="LinkTarget_15422" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Versioning Semantics </SPAN
+></P>
+<P ID="LinkTarget_15423" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Version Lifecycle </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Content in Original versions has a lifecycle state associated with it, modelled using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which is coded from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology “version lifecycle state” group. The possible values are “complete”, “incomplete” and “deleted”. Usually content will be committed in the “complete” state. However, in some circumstances, e.g. because the author has run out of time or due to an emergency, it may be committed as “incomplete” meaning that it is either incomplete or at least unreviewed. In hospitals this is a common occurrence. Unfinished Compositions cannot be saved locally on the client machine, since this represents a security risk (a small client-side database would be much easier to hack into than a secure server). They must therefore be persisted on the server, either in the actual EHR, or in a 'holding bay' which was recognised as not being part of the EHR proper. Either way, the author would have to explicitly retrieve the Composition(s) and after further work or review, 'promote' them into the EHR as 'active' Compositions; alternatively, they might decide to throw them away. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Going from “incomplete” to “complete” almost always corresponds to a change in content, and corresponds to a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> regardless. This modelling approach allows such content to exist on the EHR system, but to be flagged as incomplete when viewed by a user. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Systems are responsible for implementing checks to find ‘old’ Versions in “incomplete” state, and bring them to the relevant user’s notice, or automatically deleting them or progressing them to “complete” as appropriate. </SPAN
+></P>
+<P ID="LinkTarget_15427" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Logical Deletion </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Within the lifecycle described above, deletion of existing top-level content items (i.e. the entire data contents of a Version) is somewhat of a special case in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR and in EHRs in general. Medicolegal and traceability requirements mean that information cannot be literally removed, since it must always be possible to revert back to a previous state of the record in which the deleted information is intact. Accordingly, information can only ever be logically deleted. This is achieved by the following procedure in the Version container in question: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>create a new Version in the normal way; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>delete its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (which will by default be a copy of the data of the previous Version); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value to the code for “deleted” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit in the normal way. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:75px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logical deletion can be used for various reasons, including patient direction to remove material, and in the situation where information about a different patient has been incorrectly committed to a record, and has to be removed. </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 48 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE>
+<TR>
+<TH colspan=2 style="width:372px; height:14px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+</TH>
+<TH style="width:276px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:57px; height:22px"/>
+<TD style="vertical-align:top; width:315px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:276px; height:22px">
+<A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 2.1.0 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_15465" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.3.3 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:315px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Version Identification </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:276px; height:26px"/>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:36px; line-height:19px">
+<A href="#LinkTarget_16384">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The version identification scheme described here is adapted from the work of Hnìtynka and Plášil [3]. </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects are identified by a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which is a three-part identifier consisting of the attributes </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (see </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>support.identification </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package in the Common IM). The first part of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> identifier - the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute - is a copy of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> container in which the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> was originally created. </SPAN
+><A href="#LinkTarget_15475">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second and third parts of the identifier are explained below. FIGURE 11 illustrates the scheme </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>graphically. </SPAN
+></P>
+<IMG width=43 height=40 style="display:block; float:none; margin-bottom:0px" src="images/common_im_img_23.png">
+<P style="text-align:left; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>OBJECT_ VERSION_ID </SPAN
+></P>
+<IMG width=465 height=308 style="display:block; float:none; text-align:center; margin-bottom:16px" src="images/common_im_img_24.png">
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Local Versioning </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> identifies a version of an item with respect to other versions in the same tree. The requirementsof the identifier are the same as for typical versioning systems in use in software configuration management, and are as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to encode the relationship between versions in the version id, that is to say, version ids are constructed such that given a series of ids, the relative positions in the tree can be determined; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to allow for branches, so that variants of a particular node can be created; e.g. due to translation, or for training purposes. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A suitable scheme satisfying the above requirements for health information is the simplest possible, </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i.e.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> a single number representing the version. Version identifiers thus start at 1 and continue by single increments. The succession of version identifiers formed by changes over time is known as the “trunk” of the version tree. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:49px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To support branching, a further pair of numbers is added. The first number identifies the branch (e.g. the 1st branch, 2nd branch etc from that trunk node), while the second identifies the version. Both of these numbers also start at 1. The result of this is that version numbers like 1.1.1 (first version of first branch from trunk node 1), 2.3.3 (3rd version of 3rd branch from trunk node 2) are possible. Inside </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems where sharing with other systems does not occur, it is expected that branched versioning will be used rarely; translation is likely to be the only reason (for example if a Portuguese translation of an English language version of a Composition is made). </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 49 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Distributed Versioning </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>However, in a distributed environment where copying and subsequent modification can occur, there are more requirements of the version identification scheme, as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be possible for an item to be copied and for local modifications then to be made without causing version clashes; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be possible to send more recent versions from the original system to a target system that has already received earlier versions, and for these versions to be distinguishable from versions in the receiving system, including the previously imported versions - this enables the receiving system to know how and where to commit the received versions; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be guaranteed that any version of any object is uniquely identified globally, no matter whether it is a locally created trunk version, a locally created branch version or a version containing changes made to a copied version. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To satisfy these needs, two modifications are made to the identification scheme. The first is the addition of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, representing the system where the version was created. This is a machine processable identifier, such as a reverse internet address or GUID. Whenever a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in a particular </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (with a particular uid) is created locally, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the identifier of the local system; if the version was imported, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will already have been set to the identifier of the system of original creation. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second modification is to require branching version identifiers to be used when local modifications are made to versions copied from elsewhere; this ensures that the modifications now being made in the target system are considered in a global sense as logical branches or variants rather than trunk versions which are made in the originating system. It also allows later trunk versions from the originating system to be copied at some future time to the target system without version identifier clashes. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In summary, this scheme uses the tuple {</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>} to globally uniquely identify any </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. </SPAN
+></P>
+<P ID="LinkTarget_15521" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Semantics in Distributed Systems </SPAN
+></P>
+<P ID="LinkTarget_15522" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Copying </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>The Copy Operation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, the smallest unit of copying of content between systems that satisfies traceability requirements is the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In order to copy a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or even an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSI</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> somewhere else and retain versioning capability, its enclosing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object must be sent. When the type of content is a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for example, an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object is sent. At the receiving system various steps will occur depending on whether: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any items for the EHR in question have ever been copied before; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a copied EHR exists in the destination system for the subject of care, but no copies of the particular item in question have even been made (e.g. it is the first time Family History has been copied); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>an EHR exists, and previous copies have been made for the item in question; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:33px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>there is a duplicate EHR for the subject of care (i.e. created by new data entry rather than by automatic copying). </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 50 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the first situation, there is not even an EHR (i.e. repository of Versioned objects for the patient in question) in the target system. A new one has to be created. As mentioned in the EHR IM document, the newly created EHR should re-use the EHR id from the source system. This establishes the new EHR as an intentional clone of the source EHR (or more correctly, part of the family of EHRs making up the virtual EHR for that patient). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If it is the first time </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> version of the item logically identified by its </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid.object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (i.e. the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of its original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, common to all Versions in the same container) was received from the originating system, a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) is created, with its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to the same value as the received </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid.object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This establishes the newly created </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> as being a logical clone of the one from which the received </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> was copied. If some version of the item had already been received, this step will have already occurred, and the requisite </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> would already exist. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is then created, its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to the received </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and it is committed in the normal way (i.e. as part of a Contribution). The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes record the local act of committal. In this operation, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is never modified - it remains a faithful copy of its original, no matter how many systems it may be copied through. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Subsequent Local Modifications </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In most cases, the received information will remain as is for the duration. However, in some cases, users at the receiver system might want to make modifications as well. This is likely to happen in the case of information items representing things like medication lists and allergies. When new versions are added locally to a copied object, branching numbering is used in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, while the local system id is recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_15589">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These copying scenarios are illustrated in FIGURE 12. On the left hand-side of the figure, a version </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>container (i.e. an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>=1 is shown; the first Version has </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>=“sysA”; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>=“1”. Further local trunk and branch versions are also shown. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When the first </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is copied (copy #1) to system B, it is committed as an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which is a clone of the original. Subsequent copies (copy #2 and copy #3) can be made of later versions from system A to system B, with the effect that the version tree can be recreated inside system B (if required; there is of course no obligation to do anything with the received information). Users in system B an also make modifications to the received Version copies; these modifications are shown in grey, as branched versions with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = sysB. Independently, users in system B will of course be creating other content locally, e.g. as shown on the right-hand side, where a Versioned object with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>=2 has been created. Two places are indicated on the diagram where identification clashes could have occurred, but are prevented due to the use of the 3-part unique Version identifier scheme. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Two rules are required to make this system work, as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch versions from the original systems that are copied to another system cannot be copied without their corresponding preceding versions on the same branch (if any) and trunk versions also being copied; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:57px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>no system should create a new Versioned object (with a new uid) without first determining that it does not already have one with the same uid. This should happen automatically if </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 51 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:39px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=519 height=383 style="display:block; float:none; text-align:center; margin-bottom:10px" src="images/common_im_img_25.png">
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GUIDs are being used (and the generating software is reliable); checks may have to be made if ISO Oids are being used. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An important consequence of the way </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is modelled is that in the Version containers resulting from copy operations, the commit times always reflect the local (more recent) act of committal, not the original committal of the information to the container where it was created. This ensures that a query for the state of a Version container at earlier commit times correctly returns what information existed at that time in that container, rather than giving the illusion that recently copied Versions were there earlier than the time of local committal (as would occur if the original commit time of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object was used for comparison purposes in such queries). Accordingly, such a query over an entire EHR or other versioned information repository always returns the state of the repository available to users at that time, regardless of how many later merges or copies were carried out. This is a key requirement for supporting medico-legal and historical investigations of stored information. </SPAN
+></P>
+<P ID="LinkTarget_15592" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Version Merging </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the most common operations in distributed versioned environments, particularly in healthcare, is that content created in one system is imported into another system, modifications are created locally there which are then sent back the first system. This information pathway corresponds to scenarios such as the patient being referred from primary care into a hospital, and later being discharged into primary (or other care). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The usual need when the first system receives changes made to the data by the second system is to merge them back into the trunk of the version tree. Logically a ‘merge’ is the operation of using two versions of the same content to create a third version. How the source versions are used will vary based on the semantics of the information; it could be that the either is simply taken in its totality and the other discarded, or some mixture might be created of the two in a process of editing by the user. In many cases in health, such as where the content is a medication or problem list, the user in the origi-</SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 52 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>nal system will review the received content and create a new trunk version locally using that content, since it will be deemed to be the most accurate available in the clinical computing environment. This scenario is illustrated in </SPAN
+><A href="#LinkTarget_15613">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 13</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<IMG width=431 height=361 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/common_im_img_26.png">
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>sysA, EHR 111 sysB, EHR 111 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In this figure, versions 1 and 2 of the content (e.g. a medication list) from Versioned object with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>=1 are copied from system A (e.g. a GP) to system B (e.g. a hospital). In system B, changes are made to version 2, creating a branch (as an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IMPORTED_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) as required by the rules described above. These changes (modified medication list) are then imported back into system A. The system A user performs a merge operation to create a new trunk version 3, using the sysB/2.1.2 and sysA/2 content; most likely, he simply reviews the two input versions and uses the sysB/2.1.2 content unchanged (the result is that system A now has an up-to-date medication list for the patient, including medications orginally recorded at system A, as well as additions recorded at system B). The new Version is an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, with its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_input_version_ids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute set to include the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> representing sysB/2.1.2 (it does not need to include sysA/2, since this is already known in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If in system A a modification had been done to the sysA/2 version, creating sysA/3, in parallel with the system B changes, then a conflict situation is likely when the merge attempt is made. This may need to be resolved by a human user, for whom an automated merge attempt could be presented on the screen as a starting point, much as current source code control tools do today. </SPAN
+></P>
+<P ID="LinkTarget_15617" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Disjoint Merging </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:49px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An unintended but not uncommon situation is when distinct Version containers are created for the same real-world entity. For example, separate EHRs can be created for the one patient, due to patient identification errors or other procedural or administrative problems. Each record is likely to contain some logically duplicated basic information, as well as information unique to that record, e.g. contributed by different hospital departments. Within the one EHR, unintentionally distinct Version containers might be created for the same logical item, such as the patient’s problem list. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 53 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These erroneous situations are eventually detected, and need to be rectified. Logically what is required is to merge the two records (each potentially consisting of numerous Version containers) into one, as shown in </SPAN
+><A href="#LinkTarget_15635">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 14</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<IMG width=615 height=423 style="display:block; float:none; text-align:center; margin-bottom:-2px" src="images/common_im_img_27.png">
+<P style="text-align:justify; margin-bottom:6px; margin-left:372px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>patient = 12345 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>patient = 12345 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The merge procedure is as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>decide which record is to remain active (for merging purposes, this will be the “target”, the other the “source”); </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for all Version containers in the source record... </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>if there is a logical equivalent in the target record (for EHRs, there will typically </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>only be equivalents for persistent and possibly administrative Compositions), perform a disjoint merge in the target Version container by: </SPAN
+></P>
+<dl>
+<dl>
+<DT style="margin-bottom:0px; margin-left:96px; text-indent:48px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* </SPAN
+></DT>
+<DD style="margin-bottom:0px; margin-left:96px; text-indent:48px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating a new trunk version in the target Version container; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>if there is no logical equivalent, do the following: </SPAN
+></DD>
+
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>create a new target Version container; </SPAN
+>
+</dl>
+<dl>
+<DT style="margin-left:96px; text-indent:48px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* </SPAN
+></DT>
+<DD style="margin-left:96px; text-indent:48px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>create its first trunk Version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in both cases, continue as follows</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: 
+</SPAN
+></DD>
+
+<dl>
+<DT style="margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* 	</SPAN
+></DT>
+<DD style="margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set the data in the new trunk Version to be a copy of the data from the most recent trunk Version from the source container; </SPAN
+></DD>
+
+<DT style="margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* 	</SPAN
+></DT>
+<DD style="margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_input_version_uids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to include the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the source Version being merged (this uid will contain the uid of the Version container being logically deleted); </SPAN
+></DD>
+
+<DT style="margin-bottom:33px; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* 	</SPAN
+></DT>
+<DD style="margin-bottom:33px; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for any branches on the most recent trunk Version in the source container, create corresponding branches on the newly created trunk Version in the </SPAN
+></DD>
+
+</dl>
+</dl>
+</dl>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 54 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:168px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target, include the corresponding content and set the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_input_version_uids </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in the target in the same way as above; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:168px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>* 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>add a new trunk Version to the source container, with the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to Void, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>deleted</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As for copying and merging, an important consequence of this procedure is that the resulting record </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(i.e.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the target of the merge procedure) continues to correctly represent previous states of the repository, regardless of how many recent merges have occurred. </SPAN
+></P>
+<P ID="LinkTarget_15694" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Moving Version Containers </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It will not be uncommon that whole </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECTS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> need to be moved to another system, e.g. due to a move of a complete patient record (due to the patient moving), or re-organisation of EHR data centres. The semantics of a move are different from those of copying: with a move, there is no longer a source instance after the operation; the destination instance becomes the primary instance. </SPAN
+></P>
+<IMG width=313 height=248 style="display:block; float:none; text-align:center; margin-bottom:8px" src="images/common_im_img_28.png">
+<P style="margin-bottom:6px; margin-left:211px; text-indent:-209px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>sysA, EHR 11</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>sysB, EHR 111 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When the move is effected, the identifier of the system in which the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>now exists will usually be different from what it was before. As a consequence, subsequent versions of the content created in a moved version container will now have the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set to the id of the new system. This creates another variation on the version lineage, one in which the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><A href="#LinkTarget_15698">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value can change in the trunk line, as shown in FIGURE 15. </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15703" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_15704" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSIONED_OBJECT Class </SPAN
+></P>
+<TABLE style="margin-bottom:91px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version control abstraction, defining semantics for versioning one complex object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="text-align:center; width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:193px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 55 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:32px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:177px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:177px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:177px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier of this version container. This id will be the same in all instances of the same container in a distributed environment, meaning that it can be understood as the uid of the “virtual version tree”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to object to which this version container belongs, e.g. the id of the containing EHR or other relevant owning entity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_created</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_DATE_TIME </SPAN
+></TD>
+<TD style="width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time of initial creation of this versioned object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:193px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;VERSION&lt;T&gt;&gt; </SPAN
+></TD>
+<TD style="width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return a list of all versions in this object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_version_ids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;OBJECT_VERSION_ID&gt; </SPAN
+></TD>
+<TD style="width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return a list of ids of all versions in this object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the total number of versions in this object </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_ver_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_ver_id /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if a version with an_id exists. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_original_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_ver_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_ver_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> has_version_id(a_ver_id) </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if version with an_id is an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_version_at_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_time: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_time /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if a version for time ‘a_time’ exists. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_with_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_ver_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_version_id(a_ver_id) </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the version with id ‘an_id’. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 56 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:204px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_at_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_time: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_version_at_time(a_time) </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the version for time ‘a_time’. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>latest_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt; </SPAN
+></TD>
+<TD style="width:193px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the most recently added version (i.e. on trunk or any branch). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>latest_trunk_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt; </SPAN
+></TD>
+<TD style="width:193px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the most recently added trunk version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>trunk_lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = latest_trunk_version.lifecycle_state </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the lifecycle state from the latest trunk version. Useful for determining if the version container is logically deleted. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY </SPAN
+></TD>
+<TD style="width:193px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>History of all audits and attestations in this versioned repository. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:327px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:327px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>commit _original_version </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_contribution: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_new_version_uid, a_preceding_version_uid: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; an_audit: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_lifecycle_state: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_data: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; signing_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contribution_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_contribution /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>New_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_new_version_uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Preceding_version_uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_version_ids.has(a_preceding_version_uid) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> version_count = 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_version_data /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_lifecycle_state /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:327px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Add a new original version. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 57 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:184px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:397px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:397px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>commit _original_merged_version </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_contribution: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_new_version_uid, a_preceding_version_uid: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; an_audit: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_lifecycle_state: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_data: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>an_other_input_uids: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;OBJECT_VERSION_ID&gt;;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>signing_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contribution_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_contribution /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>New_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_new_version_uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Preceding_version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_version_ids.has(a_preceding_version_uid) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> version_count = 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_version_data /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_lifecycle_state /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Merge_input_ids_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_other_input_uids /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:397px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Add a new original merged version. This commit function adds a parameter containing the ids of other versions merged into the current one. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:160px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:160px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>commit _imported_version </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_contribution: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; an_audit: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_version: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt;) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contribution_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_contribution /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a_version /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:160px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Add a new imported version. Details of version id etc come from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>being committed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:159px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:342px; height:159px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>commit_attestation </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>( an_attestation: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_ver_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>signing_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Attestation_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an_attestation /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: has_version_id(a_ver_id) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_original_version(a_ver_id) </SPAN
+></TD>
+<TD style="vertical-align:top; width:193px; height:159px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Add a new attestation to a specified original version. Attestations can only be added to Original versions. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 58 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=648 height=236 style="display:block; float:none; text-align:center; margin-bottom:30px" src="images/common_im_img_29.png">
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>owner_id_valid: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_created_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: time_created /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_count_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_count &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_version_ids_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_version_ids /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> all_version_ids.count = version_count </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_versions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_versions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> all_versions.count = version_count </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>latest_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_count &gt; 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> latest_version /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>revision_history_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: revision_history /= Void </SPAN
+></P>
+<P ID="LinkTarget_15861" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSION Class </SPAN
+></P>
+<TABLE style="margin-bottom:30px">
+<CAPTION  style="margin-bottom:30px">
+<P style="margin-bottom:30px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSION&lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract model of one Version within a Version container, containing data, commit audit trail, and the identifier of its Contribution. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:190px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:346px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier of this version, containing </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="width:346px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier of the version of which this version is a modification; Void if this is the first version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> T </SPAN
+></TD>
+<TD style="vertical-align:top; width:346px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Original content of this Version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifecycle state of this version; coded by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR vocabulary “version lifecycle state”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:190px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:346px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audit trail corresponding to the committal of this version to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Contribution in which this version was added. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>signature</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>OpenPGP digital signature or digest of content committed in this Version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:190px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:346px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>owner_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier of the owning </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_branch</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:346px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this Version represents a branch. Derived from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 59 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSION&lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TH>
+<TD style="vertical-align:top; width:190px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>canonical_form</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:346px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Canonical form of Version object, created by serialising all attributes except </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>signature</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:232px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TH>
+<TD colspan=2 style="vertical-align:top; width:535px; height:232px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Owner_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: owner_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>owner_id.value.is_equal(uid.object_id.value) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Commit_audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: commit_audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contribution_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: contribution /= Void and contribution.type.is_equal(“CONTRIBUTION”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Preceding_version_uid_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid.version_tree_id.is_first </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version_uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Lifecycle_state_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: lifecycle_state /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Term_id_openehr). has_code_for_group_id(Group_id_version_lifecycle_state, lifecycle_state.defining_code) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_15941" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ORIGINAL_VERSION Class </SPAN
+></P>
+<TABLE style="margin-bottom:72px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A Version containing locally created content and optional attestations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:215px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:54px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Stored version of inheritance precursor. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Stored version of inheritance precursor. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:215px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_input_version_uids</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;OBJECT_VERSION_ID&gt; </SPAN
+></TD>
+<TD style="width:322px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers of other versions whose content was merged into this version, if any. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> T </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data being versioned. If not present, this corresponds to logical deletion. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:215px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>attestations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;ATTESTATION&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set of attestations relating to this version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:54px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifecycle state of the content item in this version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:215px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:215px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_merged</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:322px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this Version was created from more than just the preceding (checked out) version. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 60 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=651 height=124 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/common_im_img_30.png">
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Attestations_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: attestations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attestations.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_merged_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other_input_version_ids = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_merged </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Other_input_version_uids_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other_input_version_uids /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_input_version_uids.is_empty </SPAN
+></P>
+<P ID="LinkTarget_16001" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.5.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>IMPORTED_VERSION Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>IMPORTED_VERSION&lt;T&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Versions whose content is an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>copied from another location; this class inherits </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contribution</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, providing imported versions with their own audit trail and Contribution, distinct from those of the imported </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:203px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:334px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:203px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION&lt;T&gt; </SPAN
+></TD>
+<TD style="width:334px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object that was imported. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:203px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:334px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:203px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_VERSION_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = item.uid </SPAN
+></TD>
+<TD style="vertical-align:top; width:334px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed version of inheritance precursor, derived as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:203px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> T </SPAN
+></TD>
+<TD style="vertical-align:top; width:334px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data of wrapped </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:203px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = item. preceding_version_uid </SPAN
+></TD>
+<TD style="vertical-align:top; width:334px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed version of inheritance precursor, derived as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>preceding_version_uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:203px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:334px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifecycle state of the content item in wrapped </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, derived as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Item_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: item /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16043" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.5.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CONTRIBUTION Class </SPAN
+></P>
+<IMG width=651 height=85 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/common_im_img_31.png">
+<P style="text-align:justify; margin-bottom:57px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Documents a contribution of one or more versions added to a change-controlled repository. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 61 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Change Control Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:593px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CONTRIBUTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:195px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:195px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier for this contribution. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:195px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set of references to versions causing changes to this EHR. Each contribution contains a list of versions, which may include paths pointing to any number of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items, i.e. items of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:195px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> AUDIT_DETAILS </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Audit trail corresponding to the committal of this Contribution. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Versions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: versions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> versions.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Description_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: audit.description /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 62 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Resource Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16093" style="text-align:justify; margin-bottom:27px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Resource Package </SPAN
+></P>
+<P ID="LinkTarget_16094" style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>common.resource</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the structure and semantics of the general notion of an online resource which has been created by a human author, and consequently for which natural language is a factor. The package is illustrated in </SPAN
+><A href="#LinkTarget_16099">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 16. </SPAN
+></A>
+</P>
+<IMG width=628 height=424 style="display:block; float:none; text-align:center; margin-bottom:5px" src="images/common_im_img_32.png">
+<P ID="LinkTarget_16100" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Natural Languages and Translation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Authored resources contain natural language elements, and are therefore created in some original language, recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>orginal_language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. Information about translations is included in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>translations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which allows for one or more sets of translation details to be recorded. A resource is translated by doing the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>translating every language-dependent element to the new language; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>adding a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>TRANSLATION_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>translations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, containing details about the translator, organisation, quality assurance and so on. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any further translations to language-specific elements in a instances of descendent type of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>languages_available</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function provides a complete list of languages in the resource. </SPAN
+></P>
+<P ID="LinkTarget_16116" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Meta-data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>What is normally considered the ‘meta-data’ of a resource, i.e. its author, date of creation, purpose, and other descriptive items, is described by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 63 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Resource Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> classes. The parts of this that are in natural language, and therefore may require translated versions, are represented in instances of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>class. Thus, if a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> has more than one </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, each of these should carry exactly the same information in a different natural language. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is optional, allowing for resources with no meta-data at all, e.g. resources in a partial state of construction. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>translations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute may still be required, since there may be other parts of the resource object (specified by a class into which </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is inherited) that are language-dependent. </SPAN
+></P>
+<P ID="LinkTarget_16133" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Revision History </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When the resource is considered to be in a state where changes to it should be controlled, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_controlled</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is set to True, and all subsequent changes should have an audit trail recorded. Usually controlled resources would be managed in a versioned repository (e.g. implemented by CVS, Subversion or similar systems), and audit information will be stored somewhere in the repository (e.g. in version control files). The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute defined in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHROED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is intended to act as a documentary copy of the revision history as known inside the repository, for the benefit of users of the resource. Given that resources in different places may well be managed in different kinds of repositories, having a copy of the revision history in a standardised form within the resource enables it to be used interoperably by authoring and other tools. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Every change to a resource committed to the relevant repository causes a new addition to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P ID="LinkTarget_16136" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Definitions </SPAN
+></P>
+<P ID="LinkTarget_16137" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>AUTHORED_RESOURCE Class </SPAN
+></P>
+<TABLE style="margin-bottom:60px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>AUTHORED_RESOURCE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract idea of an online resource created by a human author. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:222px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:316px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>original_language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:316px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Language in which this resource was initially authored. Although there is no language primacy of resources overall, the language of original authoring is required to ensure natural language translations can preserve quality. Language is relevant in both the description and ontology sections. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>translations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash &lt;TRANSLATION_DETAILS, String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:316px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of details for each natural translation made of this resource, keyed by language. For each translation listed here, there must be corresponding sections in all language-dependent parts of the resource. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original_language </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>does not appear in this list. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 64 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Resource Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>AUTHORED_RESOURCE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION </SPAN
+></TD>
+<TD style="vertical-align:top; width:316px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description and lifecycle information of the resource. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY </SPAN
+></TD>
+<TD style="vertical-align:top; width:316px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The revision history of the resource. Only required if </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_controlled</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = True (avoids large revision histories for informal or private editing situations). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_controlled</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:316px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this resource is under any kind of change control (even file copying), in which case revision history is created. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:222px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:316px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>current_revision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = revision_history. most_recent_version </SPAN
+></TD>
+<TD style="vertical-align:top; width:316px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Most recent revision in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> if </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_controlled</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> else “(uncontrolled)”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>languages_available</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;String&gt; </SPAN
+></TD>
+<TD style="width:316px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Total list of languages available in this resource, derived from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original_language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>translations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:214px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:214px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Original_language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: original_language /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(original_language.as_string) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Languages_available_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: languages_available /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>languages_available.has(original_language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Revision_history_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_controlled </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> revision_history = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Current_revision_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (current_revision /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_controlled) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> current_revision.is_equal(“(uncontrolled)”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Translations_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: translations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> translations.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> translations.has(orginal_language.code_string)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Description_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: translations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(description.details.for_all(d | translations.has_key(d.language.code_string))) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16202" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TRANSLATION_DETAILS Class </SPAN
+></P>
+<TABLE style="margin-bottom:62px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:528px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TRANSLATION_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:528px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Class providing details of a natural language translation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:222px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Language of translation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>author</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Translator name and other demographic details </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 65 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Resource Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:528px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TRANSLATION_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:222px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>accreditation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Accreditation of translator, usually a national translator’s association id </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:222px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any other meta-data </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:528px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Author_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: author /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16249" style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>RESOURCE_DESCRIPTION Class </SPAN
+></P>
+<TABLE style="margin-bottom:174px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>RESOURCE_DESCRIPTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines the descriptive meta-data of a resource. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>original_author</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Hash &lt;String, String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Original author of this resource, with all relevant details, including organisation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_contributors</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>List &lt;String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other contributors to the resource, probably listed in “name &lt;email&gt;” form. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifecycle state of the resource, typically including states such as: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>initial, sub</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>mitted</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>experimental</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>awaiting_approval</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>approved</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>super</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>seded</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>obsolete</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Hash &lt;RESOURCE_ DESCRIPTION_ITEM, String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Details of all parts of resource description that are natural language-dependent, keyed by language code. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>resource_package_uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URI of package to which this resource belongs. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Hash &lt;String, String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Additional non language-senstive resource meta-data, as a list of name/value pairs. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>parent_resource</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to owning resource. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 66 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Resource Package Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=652 height=217 style="display:block; float:none; text-align:center; margin-bottom:30px" src="images/common_im_img_33.png">
+<P style="text-align:left; margin-bottom:730px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Original_author_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: original_author /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>original_author.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Lifecycle_state_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: lifecycle_state /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: details /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> details.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: parent_resource /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> details.for_all (d | parent_resource.languages_available.has(d.language.code_string)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Parent_resource_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: parent_resource /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent_resource.description = Current </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 67 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Resource Package </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16317" style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM Class </SPAN
+></P>
+<TABLE style="margin-bottom:215px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Language-specific detail of resource description. When a resource is translated for use in another language environment, each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>RESOURCE_DESCRIPTION_ITEM </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>needs to be copied and translated into the new language. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="width:306px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The localised language in which the items in this description item are written. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “languages”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Purpose of the resource. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>keywords</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords which characterise this resource, used e.g. for indexing and searching. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>use</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of the uses of the resource, i.e. contexts in which it could be used. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>misuse</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of any misuses of the resource, i.e. contexts in which it should not be used. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>copyright</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional copyright statement for the resource as a knowledge resource. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>original_resource_uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URIs of original clinical document(s) or description of which resource is a formalisation, in the language of this description item; keyed by meaning. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Additional language-senstive resource metadata, as a list of name/value pairs. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:120px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:120px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>purpose_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: purpose /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> purpose.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>use_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: use /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> use.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>misuse_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: misuse /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> misuse.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>copyright_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: copyright /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> copyright.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px; 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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 68 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>} 
+</SPAN
+></A>
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16378" style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></P>
+<P ID="LinkTarget_16379" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Cimino J J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Desiderata for Controlled Medical vocabularies in the Twenty-First Century</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. IMIA WG6 Conference, Jacksonville, Florida, Jan 19-22, 1997. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Hnìtynka P, Plášil F. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Distributed Versioning Model for MOF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Proceedings of WISICT 2004, Cancun, Mexico, A volume in the ACM international conference proceedings series, published by Computer Science Press, Trinity College Dublin Ireland, 2004. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; margin-right:5px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schloeffel P. (Editor). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Requirements for an Electronic Health Record Reference Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (ISO TC 215/SC N; ISO/WD 18308). International Standards Organisation, Australia, 2002. </SPAN
+></P>
+<P ID="LinkTarget_16390" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>European Projects </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P A, Lloyd D, and Kalra D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Consolidated List of Requirements. EHCR Support Action Deliverable 1.4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. European Commission DGXIII, Brussels; May 200159pp Available from </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHCR Support Action Deliverable 2.4 &quot;Guidelines on Interpreta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion and implementation of CEN EHCRA&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tp://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ingram D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Good European Health Record Project</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Laires, Laderia Christensen, Eds. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>H</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ealth in the New Communications Age. Amsterdam: IOS Press; 1995; pp. 66-74. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 19,20,24: GEHR Architecture. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 30/6/1995 </SPAN
+></P>
+<P ID="LinkTarget_16410" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-2 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 2: Domain term list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-4 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P ID="LinkTarget_16417" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>OMG </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Person Identification Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) </SPAN
+></P>
+<P style="text-align:left; margin-bottom:27px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lexicon Query Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 69 of 7</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+><A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16435" style="text-align:left; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Software Engineering </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px; line-height:28px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>15 Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 2nd Ed. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; text-indent:48px; line-height:28px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Prentice Hall 1997 16 Fowler M. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Analysis Patterns: Reusable Object Models. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley 1997 17 Fowler M, Scott K. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UML Distilled (2nd Ed.). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley Longman 2000 </SPAN
+></P>
+<P ID="LinkTarget_16438" style="text-align:left; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Resources </SPAN
+></P>
+<P style="text-align:left; margin-bottom:730px; line-height:28px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>18 IANA -</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.iana.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.iana.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom: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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_16456">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 70 of 71 </SPAN
+></A>
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Common Information Model </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_13142">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_13015">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_16455">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 71 of 71 </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_13149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_13129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
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+</HEAD>
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+<UL>
+<LI>
+<A href="#LinkTarget_8043">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8092">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8212">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8229">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8422">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8424">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8447">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8463">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8475">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8497">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_8514">2 Background</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8516">2.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8540">2.2 Design Principles</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_8588">3 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8599">3.1 Instance Structures</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8634">3.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8638">3.2.1 DATA_STRUCTURE Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_8678">4 Item Structure Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8680">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8711">4.2 CEN EN13606 Encoding Rules</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8713">4.2.1 ITEM_SINGLE</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8716">4.2.2 ITEM_LIST</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8719">4.2.3 ITEM_TABLE</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8739">4.2.4 ITEM_TREE</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_8743">4.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_8744">4.3.1 ITEM_STRUCTURE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8768">4.3.2 ITEM_SINGLE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8819">4.3.3 ITEM_LIST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_8897">4.3.4 ITEM_TABLE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9028">4.3.5 ITEM_TREE Class</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_9099">4.4 Instance Structures</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9103">4.4.1 ITEM_SINGLE Instance Structure</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9118">4.4.2 ITEM_LIST Instance Structure</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9147">4.4.3 ITEM_TABLE Instance Structure</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9154">4.4.4 ITEM_TREE Instance Structure</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_9240">5 Representation Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9241">5.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9253">5.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9254">5.2.1 ITEM Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9303">5.2.2 CLUSTER Class</A>
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+<A href="#LinkTarget_9360">5.2.3 ELEMENT Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_9435">6 History Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9436">6.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9445">6.1.1 Semantics</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9714">6.2.1 HISTORY<T: ITEM_STRUCTURE> Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9793">6.2.2 EVENT <T: ITEM_STRUCTURE> Class</A>
+</LI>
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+<A href="#LinkTarget_9855">6.2.3 POINT_EVENT <T: ITEM_STRUCTURE> Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9873">6.2.4 INTERVAL_EVENT <T: ITEM_STRUCTURE> Class</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_9931">6.3 History Instance Structures</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9932">6.3.1 Single Sample</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9949">6.3.2 5-minute Blood Pressure Averages</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_9967">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_9968">A.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_9979">A.2 European Projects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10003">A.3 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10008">A.4 OMG</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10013">A.5 Software Engineering</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10033">A.6 Resources</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=336 height=135 style="display:block; float:none" src="images/data_structures_im_img_0.png">
+<IMG width=144 height=127 style="display:block; float:none; text-align:left; margin-bottom:33px" src="images/data_structures_im_img_1.png">
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>EHR Reference Model </SPAN
+></P>
+<DIV class="Part"
+><H1>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:24pt; color:#000000"
+>Data Structures Information Mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:24pt; color:#000000"
+>l 
+</SPAN
+></H1>
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
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+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_8105">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</TD>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>39 </SPAN
+></SPAN>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>26 Sep 2006 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:28px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:28px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:38px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, reference model, openehr, data structures </SPAN
+></P>
+<TABLE style="margin-bottom:89px">
+<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:#ADADAD"
+>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:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#96FF52; 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:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; background-color:#C9FF5C; 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:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>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:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="width:151px; height:23px; background-color:#C9FF5C; 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:#ADADAD"
+>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="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:#ADADAD"
+>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:#D6FBF9; 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; color:#000000"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H5>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:21px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: http://www.openEHR.org </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:110px">
+<A href="#LinkTarget_7972">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_8043">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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: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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_8037">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7972">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </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_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_8092" style="text-align:justify; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:160px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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; vertical-align:top; width:105px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct Release 1.0 typographical errors. Minor cosmetic changes to diagrams. Correct return types of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM_TABLE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>functions to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> rather than </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>List&lt;ELEMENT&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000207</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM_TABLE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>columns</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rows</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to termi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>nology in RM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000220</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Tighten semantics of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>time. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd, T Beale S Heard R Chen A Patterson </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>26 Sep 2006 </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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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:267px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:267px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000014</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Adjust History. Major simplifcation to package; make Events absolute in time. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000155</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Summary data. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000183</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove root node from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000185</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improved EVENT model. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000155</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Summary data. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000192</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add display-as-absolute facility to delta Events in History (added explanation only). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000193</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Simplify </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> for archetyping and paths. Revert to one math function per </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000196</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>events</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000192</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support change, increase and decrease Events in History. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:267px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard T Beale S Heard G Grieve S Heard S Heard S Heard G Grieve S Heard S Heard S Heard S Heard D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:267px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 Dec 2005 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.1 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000048</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Pre-release review of documents. Fixed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>UML diagram - remove superfluous T:XXX (no semantic change). Converted parameter types to UML box form. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Feb 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000101</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve modelling of Structure classes. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000100</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct inheritance error in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000024</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Revert </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and rename as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000123</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should inherit from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000124</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Fix path syntax in data structures IM document. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC T Beale S Heard, T Beale T Beale Rong Chen T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Dec 2004 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8019">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_8037">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:87px; margin-left:466px">
+<A href="#LinkTarget_7972">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:11px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:169px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:169px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000019</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> &amp; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> supertype. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000028</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change name of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to avoid clashes. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000089</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>displayed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000091</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct anomalies in use of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000067</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to enable math function inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>val measurements. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>duration</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SINGLE_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>duration</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>width</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:169px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale H Frankel DSTC T Beale S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:169px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Mar 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.3 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>04 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Rename key classes - rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOUND</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLUS</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TER </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to conform with CEN 13606. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Kalra, 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Improved heading layout, package naming. Made </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIS-TORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_periodic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a function. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Mar 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3 </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'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> No changes. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Feb 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections to terminology_id invariants. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Defined packages properly and moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes from EHR RM. No change to semantics. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Dec 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SINGLE_S</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> new function. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Nov 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor adjustments due to change in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Nov 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Taken from Common RM. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Oct 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_8212" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including Ocean Informatics; The University College, London; Australia; The Cooperative Research Centres Program through the Department of the Prime Minister and Cabinet of the Commonwealth Government of Australia. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:277px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Thanks to Grahame Grieve of Kestral Computing for general input and examples relating to History data. </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_8037">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</P>
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_8229" style="text-align:; margin-bottom:6px; margin-right:137px; margin-left:257px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P>
+<A href="#LinkTarget_8422">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction.............................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8424">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8447">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8463">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status......................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8475">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ............................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_8497">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8514">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Background............................................................................... </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8516">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Requirements .........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_8540">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Design Principles ...................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8588">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 Overview ..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8599">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Instance Structures...............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8634">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Class Descriptions................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_8638">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.1 DATA_STRUCTURE Class ..........................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8678">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 Item Structure Package ......................................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8680">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8711">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 CEN EN13606 Encoding Rules...........................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8713">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 ITEM_SINGLE .............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8716">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 ITEM_LIST ...................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8719">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 ITEM_TABLE ...............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8739">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.4 ITEM_TREE..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8743">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3 Class Descriptions................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8744">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.1 ITEM_STRUCTURE Class...........................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.2 ITEM_SINGLE Class....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8819">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.3 ITEM_LIST Class..........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_8897">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.4 ITEM_TABLE Class .....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9028">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.5 ITEM_TREE Class ........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9099">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4 Instance Structures...............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9103">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.1 ITEM_SINGLE Instance Structure................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9118">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.2 ITEM_LIST Instance Structure .....................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9147">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.3 ITEM_TABLE Instance Structure .................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_9154">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.4 ITEM_TREE Instance Structure....................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9240">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 Representation Package ........................................................ 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9241">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9253">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Class Descriptions................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9254">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.1 ITEM Class ....................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9303">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.2 CLUSTER Class ............................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_9360">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.3 ELEMENT Class ...........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9435">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>6 History Package...................................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9436">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9445">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1.1 Semantics .......................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9714">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.1 HISTORY&lt;T: ITEM_STRUCTURE&gt; Class.................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9793">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.2 EVENT &lt;T: ITEM_STRUCTURE&gt; Class....................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9855">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.3 POINT_EVENT &lt;T: ITEM_STRUCTURE&gt; Class......................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:38px">
+<A href="#LinkTarget_9873">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.4 INTERVAL_EVENT &lt;T: ITEM_STRUCTURE&gt; Class...............3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:172px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="text-align:left">
+<A href="#LinkTarget_9931">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3 History Instance Structures.................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9932">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.1 Single Sample................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_9949">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.2 5-minute Blood Pressure Averages ...............................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9967">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References............................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9968">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 General ................................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_9979">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.2 European Projects................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_10003">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.3 CEN ..................................................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_10008">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.4 OMG.................................................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P>
+<A href="#LinkTarget_10013">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.5 Software Engineering .......................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:745px">
+<A href="#LinkTarget_10033">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.6 Resources............................................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </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_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_8422">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8424">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the common data structures used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, including lists, tables, trees, and history, along with one possible data representation (hierarchical) which is compatible with the CEN 13606 EHCR standard. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development organisations using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical informaticians and clinicians intersted in health information; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:21px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health data managers. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8447">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:21px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8463">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/data_structures_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/data_structures_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8475">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:78px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tent. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; 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_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8497">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:838px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is deter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Background Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_8514">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Background </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8516">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The requirements for structured data in the EHR and other systems are essentially that low-level data can be expressed in standard structures. The structures which are commonly required are as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>single values, e.g. weight, height, blood sugar; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lists of named/numbered elements, e.g. blood test results; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tables of values with named columns and/or named rows, e.g. visual acuity results; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trees of values, e.g. biochemistry, microbiology results; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:21px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>histories of values, each of which takes any of the above forms, e.g. a time series of blood pressures, glucose levels, or imaging data. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8540">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Principles </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design principle which particularly applies to the data structure models described here is the need to provide explicit specifications for logical structures using the same generic representation, such as hierarchy. The logical structures include tables, lists, trees, and the concept of history. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Regardless of whether such structures are treated as pure presentation or as having semantic signifi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cance, there are at various reasons for explicitly including the semantics of logical structures which are represented in a generic way such as hierarchy, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it is essential for interoperability that a structure such as a logical table, list or linear history be encoded into the generic representation in the same way by all senders and receivers of information, otherwise there is no guarantee that any communicating party’s software proc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>esses the structures in the intended fashion; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>software implementors can develop software which explicitly captures the logical structures as functional interfaces which are used as the only way of building such structures. Such interfaces (assuming they are bug-free) guarantee that all application software always cre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ates correct structures - there is no need to rely on caller software each time making low level calls to create a table or list out of hierarchy elements; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the use of a functional interface for such types means that application software at the receiver’s end can always process incoming information in its intended form, enabling cor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rect presentation of data on the screen. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:78px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the motivations for defining logical data structures explicitly is to remove the ambiguity in recording structure and time in previous EHR specifications and standards, such as CEN 13606, GEHR, GEHR Australia, and HL7v3 CDA specifications. The alternative in the past was to simply use generic hierarchical structures; there was no agreement in the standard about how a table might be represented, similarly, time had no standard representation. Where single values were recorded, an attribute meaning ‘time of recording’ was set appropriately; if a time series was required, there was no clear guideline as to how to model it. One way would have been to build a double list which is log</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ically a two column table, whose first column was time-point data, but many other approaches are possible. The standardised approach removes all such ambiguity, and improves the quality of data and software. </SPAN
+></P>
+<P style="margin-bottom:14px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 3</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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Background </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_8588" style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Overview </SPAN
+></H2>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.data_structures</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package contains two packages: the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>item_structure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package and the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. The first describes generic, path-addressable data structures, while the latter describes a generic notion of linear history, for recording events in past time. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_structures </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package is illustrated in </SPAN
+><A href="#LinkTarget_8594">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:10px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABLE </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>archetyped</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=596 height=265 style="display:block; float:none; margin-bottom:10px" src="images/data_structures_im_img_2.png">
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_structures Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_structures</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package itself contains a single class, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is the ancestor of all </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data structures. Its only feature is the function </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is imple</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mented by each subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, in order to generate a physical representation of the structure in CEN EN13606 form. The 13606 form is usually less optimal than the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR form, but is compatible with the less semantically rich standard, and is guaranteed (in theory) to be comprehen</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sible to other systems which support CEN EN13606 as an interoperability standard. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8599">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Instance Structures </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Diagrams of typical instances of the structures are included throughout this document. Each instance of shown in both physical and logical form. The physical form shows the instances which will occur in data if the structure is implemented using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>representation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. The logical form shows the same instance in a logical form only - i.e. hiding the physical implementation. Only the latter form is used in other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR documents. In all instance diagrams, the following shorthand is used for well-known attribute names: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“m = xxxx” - means “meaning = xxxx”, i.e. the meaning of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute inherited from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“n = xxxx” - means “name = xxxx”, i.e. the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute inherited from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:65px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“v = xxxx” - means “value = xxxx”, i.e. the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>class. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:14px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 3</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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="margin-bottom:19px">
+<TR>
+<TH style="width:61px; height:35px">
+<A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview Rev 1.7 </SPAN
+></A>
+</TH>
+<TH style="width:323px; height:35px"/>
+<TH style="text-align:right; width:264px; height:35px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</TH>
+</TR>
+<TR>
+<TD ID="LinkTarget_8634" style="width:61px; height:44px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.2 </SPAN
+></TD>
+<TD style="width:323px; height:44px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:264px; height:44px"/>
+</TR>
+<TR>
+<TD ID="LinkTarget_8638" style="vertical-align:bottom; width:61px; height:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.1 </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:323px; height:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DATA_STRUCTURE Class </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:264px; height:25px"/>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:551px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DATA_STRUCTURE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract parent class of all data structure types. Includes the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> func</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion which can generate the equivalent CEN EN13606 single hierarchy for each subtype’s physical representation. For example, the physical representation of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;ELEMENT&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; its implementation of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will gener</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ate a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> containing the set of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> nodes from the list. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM </SPAN
+></TD>
+<TD style="width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Hierarchical equivalent of the physical representation of each subtype, compati</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ble with CEN EN 13606 structures. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>As_hierarchy_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: as_hierarchy /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_8678">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Item Structure Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8680">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Item_Structure classes presented here are a formalisation of the need for generic, archetypable data structures, and are used by all </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference models. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The subtypes of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class explicitly model the logical data structure types which typically occur in health record data, and include </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for single values such as a patient weight), </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for lists such as parts of an address), </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for hierarchically structured data such as a microbiology report) and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for tabular data such as visual acuity or reflex test results). Each of these classes defines a functional interface, has an optimal physical representa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion using the basic types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>representation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package, and can gen</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erate a CEN EN13606-compliant hierarchical representation of its data. Any system implementing these types is guaranteed to create data which represents the logical structures of lists, tables and trees identically. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data values are connected to spatial structures via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class of the Representation cluster. This class also carries an important attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>null_flavor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, whose value indi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cates how to read the value. A small domain termlist containing values such as “unknown”, “not dis</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>closed”, “undetermined”, etc, as described in the Flavours of Null vocabulary in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:14px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR class model for spatial structures is illustrated in </SPAN
+><A href="#LinkTarget_8697">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 2</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. It should be noted that these classes (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> etc) are not equivalents of similarly named classes (such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) in most data structure libraries - they also include per-node </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and leaf node value and null flavour, and path capabilities. </SPAN
+></P>
+<P style="margin-bottom:10px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABLE </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>archetyped</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=21 height=32 style="display:block; float:none; margin-bottom:0px" src="images/data_structures_im_img_3.png">
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_STRUCTURE </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_structures</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=493 height=271 style="display:block; float:none; margin-bottom:7px" src="images/data_structures_im_img_4.png">
+<P style="margin-bottom:46px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_structures.item_structure Package </SPAN
+></P>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8711" style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN EN13606 Encoding Rules </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8713" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_SINGLE </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object is encoded in EN13606 as a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8716" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_LIST </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:14px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object is encoded in EN13606 as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object containing the set of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENTs </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR list. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8719" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TABLE </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> encoding rules are as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Each row is encoded as a Cluster containing a number of Elements, each corresponding to the value of a column in that row. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An empty/void column value for a row is represented by an Element containing no value, and with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>null_flavour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> set. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The names of the Element in a row are the column names. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:14px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The names of the containing Cluster of each row is the stringified number of the row in the overall table. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8739" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TREE </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance are simply replicated as is to produce the correct EN13606 hierarchi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cal form. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_8743" style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_8744" style="text-align:justify; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_STRUCTURE Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_STRUCTURE (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract parent class of all spatial data types. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HIERARCHICAL_PROPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDA </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Structure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> abstract type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_8768" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_SINGLE Class </SPAN
+></P>
+<IMG width=649 height=72 style="display:block; float:none; margin-bottom:30px" src="images/data_structures_im_img_5.png">
+<P style="margin-bottom:14px; margin-left:288px; text-indent:-287px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_SINGLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to represent any data which is logically a single value, such as a person’s height or weight. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_SIMPLE_PROPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDA </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:281px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+></TD>
+<TD style="text-align:center; width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generate a CEN EN13606-compatible hierarchy consisting of a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELE</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>MENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Item_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: item /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_8819" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_LIST Class </SPAN
+></P>
+<TABLE style="margin-bottom:38px">
+<CAPTION >
+<P style="margin-bottom:38px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_LIST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logical list data structure, where each item has a value and can be referred to by a name and a positional index in the list. The list may be empty. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to represent any data which is logically a list of values, such as blood pres</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sure, most protocols, many blood tests etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not to be used for time-based lists, which should be represented with the proper temporal class, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_LIST_PROPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDA 1.0 </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List Entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;ELEMENT&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physical representation of the list. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item_count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Count of all items </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>names</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;DV_TEXT&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Retrieve the names of all items </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_LIST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>named_item(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_name:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Retrieve the item with name ‘a_name’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ith_item(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Retrieve the i-th item with name </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generate a CEN EN13606-compatible hierarchy consisting of a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>containing the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s of this list. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Valid_structure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items.forall(i:ITEM | i.type = “ELEMENT”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Names_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: names /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_8897" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TABLE Class </SPAN
+></P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:533px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_TABLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:193px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:533px; height:193px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logical relational database style table data structure, in which columns are named and ordered with respect to each other. Implemented using Cluster-per-row encoding. Each row Cluster must have an identical number of Elements, each of which in turn must have identical names and value types in the corresponding postions in each row. Some columns may be designated ‘key’ columns, containing key data for each row, in the manner of relational tables. This allows row-naming, where each row represents a body site, a blood antigen etc. All values in a column have the same data type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:533px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to represent any data which is logically a table of values, such as blood pressure, most protocols, many blood tests etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="width:533px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not used for time-based data, which should be represented with the temporal class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.. The table may be empty. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:533px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>n/a </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:533px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_TABLE_PROPOSITION, G1_MATRIX_PROPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="width:533px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RIM structured types Table_structure, Table_cell, Table etc ; CDA 1.0 Table Entry type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:533px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:283px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:251px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:283px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rows</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;CLUSTER&gt; </SPAN
+></TD>
+<TD style="text-align:center; width:251px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physical representation of the table as a list of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTERs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, each contain</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing the data of one row of the table. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:283px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:251px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:118px">
+<CAPTION  style="margin-bottom:118px">
+<P style="margin-bottom:118px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:533px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_TABLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:283px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>row_count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the number of rows </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:283px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>column_count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the number of columns </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:283px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>row_names</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;DV_TEXT&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the row names </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:283px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>column_names</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;DV_TEXT&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the column names </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ith_row(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i &gt;0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> i &lt; row_count </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the i-th row </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_row_with_name(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_key /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> a_key.empty </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if there is a row whose first col</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>umn has the name ‘a_key’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_column_with_name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_key /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> a_key.empty </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if there is a column with name ‘a_key’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>named_row</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_row_with_name(a_key) </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the row whose first column has the name ‘a_key’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:283px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_row_with_key </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(keys: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;String&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:251px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if there is a row whose first n columns have the names in ‘keys’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>row_with_key </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(keys: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;String&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_row_with_key(keys) </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the row whose first n col</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>umns have names equal to the values in ‘keys’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>element_at_cell_ij </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(i, j:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> i &lt;= column_count j &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> j &lt;= row_count </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the element at the column i, row j. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>element_at_named_cell </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(row_key, col_key:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_row_with_name(row_key) has_column_with_name(column_key) </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the element at the row whose first column has the name ‘row_key’ and column has the name ‘col_key’ </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:533px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_TABLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:283px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+></TD>
+<TD style="vertical-align:top; width:251px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generate a CEN EN13606-compati</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ble hierarchy consisting of a single </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>containing the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s representing the columns of this table. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:533px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Valid_structure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rows.forall(items.forall(instance_of(“ELEMENT”))) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Column_names_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: column_names /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_9028" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TREE Class </SPAN
+></P>
+<TABLE style="margin-bottom:41px">
+<CAPTION  style="margin-bottom:41px">
+<P style="margin-bottom:41px; line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM_TREE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logical tree data structure. The tree may be empty. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to represent data which are logically a tree such as audiology results, micro</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>biology results, biochemistry results. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The CEN cluster is effectively the only data structure available in CEN, and is equivalent to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_TREE_PROPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This can be constructed with CDA 1.0 Lists. Act and Act_relationship are the closest correspondents in the HL7v3 RIM. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LIST&lt;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physical representation of the tree. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_element_path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_path:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if path ‘a_path’ is a valid leaf path </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>element_at_path(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_path:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_element_path(a_path) </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the leaf element at the path ‘a_path’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+></TD>
+<TD style="width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generate a CEN EN13606-compatible hierarchy, which is the same as the tree’s physical representation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:5px">
+<TR>
+<TH colspan=2 style="width:439px; height:35px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</TH>
+<TH style="width:210px; height:35px">
+<A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package Rev 1.7 </SPAN
+></A>
+</TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_9099" style="vertical-align:middle; width:57px; height:40px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.4 </SPAN
+></TH>
+<TD style="width:382px; height:40px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Instance Structures </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:210px; height:40px"/>
+</TR>
+<TR>
+<TH ID="LinkTarget_9103" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.1 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:382px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_SINGLE Instance Structure </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:210px; height:26px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:21px">
+<A href="#LinkTarget_9116">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3 illustrates a </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance, in both physical and logical forms. </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:0px; margin-left:157px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></H5>
+<P style="text-align:left; margin-bottom:14px; margin-right:12px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n = “weight” m = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>“weight” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:14px; margin-left:47px; line-height:15px">
+<IMG width=8 height=15 style="display:block; float:left; text-align:left; margin-bottom:14px; margin-left:47px" src="images/data_structures_im_img_6.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<IMG width=383 height=119 style="display:block; float:none; text-align:left; margin-bottom:18px" src="images/data_structures_im_img_7.png">
+<P style="margin-bottom:110px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>weight = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>85kg </SPAN
+></P>
+<P style="text-align:; margin-bottom:21px; margin-right:38px; margin-left:154px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Instance Structure of ITEM_SINGLE </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_9118" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_LIST Instance Structure </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:21px">
+<A href="#LinkTarget_9131">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 4 illustrates a typical </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure, in this case for a BP protocol. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:6px; margin-left:126px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_LIST </SPAN
+></H5>
+<P style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Physical Form </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-right:6px; margin-left:126px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n = “BP protocol” m = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>“BP protocol” </SPAN
+></P>
+<P style="text-align:left; margin-left:198px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>items </SPAN
+></P>
+<P style="text-align:left; margin-bottom:25px; margin-left:11px; text-indent:-10px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>BP protocol device = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sphygmomanometer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>cuff size = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>wide </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>position = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>seated </SPAN
+></P>
+<P style="margin-bottom:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Logical Form </SPAN
+></P>
+<IMG width=112 height=143 style="display:block; float:none; text-align:left; margin-bottom:15px" src="images/data_structures_im_img_8.png">
+<IMG width=248 height=129 style="display:block; float:none; margin-bottom:26px" src="images/data_structures_im_img_9.png">
+<P style="margin-bottom:273px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>ITEM_LIST Instance Structure </SPAN
+></P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_9147" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TABLE Instance Structure </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:28px">
+<A href="#LinkTarget_9152">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a table of visual acuity test results. </SPAN
+></P>
+<IMG width=552 height=376 style="display:block; float:none; margin-bottom:79px" src="images/data_structures_im_img_10.png">
+<P style="text-align:justify; margin-bottom:93px; margin-left:112px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Logical Form </SPAN
+></P>
+<P style="margin-bottom:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>ITEM_TABLE Instance Structure </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_9154" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM_TREE Instance Structure </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:157px; line-height:19px">
+<A href="#LinkTarget_9215">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 6</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates te logical and physical form of an example </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance, representing a biochemistry result. </SPAN
+></P>
+<TABLE style="margin-bottom:355px">
+<TR>
+<TD style="vertical-align:top; width:135px; height:22px; background-color:#FFFF7E; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#000000"
+>Vision </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:130px; height:22px; background-color:#FFFF7E; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:135px; height:22px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Eye(s) </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:130px; height:22px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>visual acuity </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:135px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Right</SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:130px; height:21px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> 6/6 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:135px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Left </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:130px; height:21px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6/18 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:135px; height:22px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Both </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:130px; height:22px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6/6 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:42px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Item Structure Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<IMG width=601 height=303 style="display:block; float:none; margin-bottom:45px" src="images/data_structures_im_img_11.png">
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>value </SPAN
+></P>
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>value </SPAN
+></P>
+<P style="text-align:; margin-bottom:6px; margin-right:22px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>DV_TEXT </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “xxxxxxx” </SPAN
+></P>
+<P style="margin-bottom:42px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>value </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>value </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>value </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="text-align:justify; margin-bottom:42px; margin-left:116px">
+<SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>DV_QUANTITY </SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>DV_QUANTITY </SPAN
+></SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>DV_QUANTITY </SPAN
+></SPAN
+></H5>
+<P style="text-align:justify; margin-bottom:38px; margin-left:116px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = XX </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = XX </SPAN
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = XX </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:136px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:13.9pt; font-weight:normal; color:#000000"
+>BIOCHEMISTRY RESULT </SPAN
+></P>
+<P style="text-align:justify; margin-right:151px; margin-left:169px; line-height:24px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>sample = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>serum </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lipid studies</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-18px; line-height:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Logical Form </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-right:20px; margin-left:199px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>total cholesterol = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 mmol/L </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>HDL cholesterol = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0.9 mmol/L </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>LDL cholesterol = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 mmol/L </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:38px; margin-left:169px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>comment: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>high cardiac risk </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:311px; margin-left:115px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>ITEM_TREE Instance Structure </SPAN
+></P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Item Structure Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Representation Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_9240" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Representation Package </SPAN
+></P>
+<P ID="LinkTarget_9241" style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This package contains classes for a simple hierarchical representation of any data structure, as shown in </SPAN
+><A href="#LinkTarget_9252">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. These classes are compatible with the CEN EN13606 classes of the same names, and instances can be losslessly generated to and from EN13606 instances structures. </SPAN
+></P>
+<P style="margin-bottom:10px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABLE </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>archetyped</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=308 height=219 style="display:block; float:none; margin-bottom:14px" src="images/data_structures_im_img_12.png">
+<IMG width=8 height=8 style="display:block; float:none; text-align:right; margin-bottom:-19px" src="images/data_structures_im_img_13.png">
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALUE </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:474px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>coded by </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>EHR Terminology group “</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF7100"
+>null flavour</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:25px; margin-left:136px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_structures.representation Package </SPAN
+></P>
+<P ID="LinkTarget_9253" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_9254" style="text-align:left; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ITEM Class </SPAN
+></P>
+<TABLE style="margin-bottom:44px">
+<CAPTION  style="margin-bottom:44px">
+<P style="margin-bottom:44px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ITEM (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The abstract parent of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> representation classes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::Observation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Item class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HIERARCHICAL_ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>n/a </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 3px 1px"/>
+<TD style="vertical-align:top; width:256px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 3px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:281px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 3px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Representation Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_9303" style="text-align:justify; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CLUSTER Class </SPAN
+></P>
+<TABLE style="margin-bottom:492px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLUSTER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The grouping variant of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which may contain further instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, in an ordered list. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(ENV 13606:2000) ClusterOCC class; (prEN 13606:2006) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::CompositeObservation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Compound class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HIERARCHICAL_GROUP </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Act_context </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List&lt;ITEM&gt; </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ordered list of items -</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELE</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>MENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects - under this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Items_non_empty</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items.empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:367px; height:14px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</TH>
+<TH style="text-align:right; width:281px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Representation Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="width:367px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:281px; height:22px">
+<A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 1.7 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_9360" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.3 </SPAN
+></TH>
+<TD style="text-align:right; vertical-align:bottom; width:310px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ELEMENT Class </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:281px; height:26px"/>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:295px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ELEMENT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The leaf variant of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, to which a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is attached. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DataItem class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::AtomicObservation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Element class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HIERARCHICAL_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Act </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DATA_VALUE </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data value of this leaf </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:54px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>null_flavor</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>flavour of null value, e.g. indeterminate, not asked etc </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_null</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Boolean </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if value logically not known, e.g. if indeterminate, not asked etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_null_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_null = (value = Void) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Null_flavor_indicated</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_null </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> null_flavour = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Null_flavour_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_null </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr).has_code_for_group_id (Group_id_null_flavour, null_flavor.defining_code) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Representation Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_9435" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>History Package </SPAN
+></P>
+<P ID="LinkTarget_9436" style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package defines classes which formalise the concept of past, linear time, via which his</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>torical data of any structural complexity can be recorded. It supports both instantaneous and interval event samples within periodic and aperiodic series. Data recorded in interval events are tagged with a mathematical function, including ‘point-in-time’, ‘mean’, ‘delta’ and so on, as defined by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR “event math function” vocabulary. It also supports the inclusion of “summary” data, i.e. a textual or image item which summarises in some way the entire history. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Regardless of whether the actual data consist of a single sample or many, they are represented in the same way: as a history of events, i.e. as a time series, allowing all software to access data in a uniform way, whether it is a single measurement of weight, a long series of three- or four-dimensional images, or even a series of encapsulated multimedia items. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model defines the constrained generic (otherwise known as ‘template’ or ‘parameterised’) types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> where the type parameter is constrained to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type, and defines the type of the data recorded in an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The effect is that repeated instances of spatially complex data can recur in time, corre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sponding to the way data are actually measured. An aperiodic series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances would typically be used to represent manual measurements repeated in time. Periodic histories of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances would typically be used to represent vital signs monitor output (which is usually delivered in averaged form potentially with additional minimum and maximum values). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:14px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As with all other parts of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, the History package is designed for arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>typing; archetypes define the domain semantics of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is shown in </SPAN
+><A href="#LinkTarget_9470">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 8. </SPAN
+></A>
+</P>
+<P ID="LinkTarget_9445" style="text-align:justify; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Semantics </SPAN
+></P>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Basic Semantics </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intention of the History model is to represent time-based data for which every sample in the series is a measurement of the same phenomenon (e.g. patient heartrate) and is obtained using the same measurement method (e.g. pulse oximeter). Samples taken in this way can be reliably treated as representing changes in a phenomenon over time, and accordingly can be safely used for time-based computation, such as graphing, statistical analysis and so on. A History can contain any mixture of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances. Clearly it is impossible for the model to guarantee completely correct usage on its own, however there two major safeguards. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Firstly, the use of generic types forces the type of the data in each Event to be the same. A History of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY&lt;ITEM_LIST&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> therefore constrains the type of the data at each Event (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) to be of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and nothing else. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Secondly, the use of archetyping (typically within </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Observation archetypes) ensures the actual structure of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtype is defined in the same way for every sample - e.g. a two-item list representing systolic and diastolic blood pressure. </SPAN
+></P>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Timing </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An instance of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class contains the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, indicating what is considered the ‘0-point’ of the time series, and a series of instances of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtype, each con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>taining a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute representing the absolute time of the event. The relative off-</SPAN
+></P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:38px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="margin-bottom:10px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABLE </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>archetyped</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=564 height=461 style="display:block; float:none; margin-bottom:12px" src="images/data_structures_im_img_14.png">
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_structures.history Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set of any Event is computed as the difference between the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>offset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function. For Interval events (i.e. instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute always refers to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>end time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the event, since this is the time at which the data (e.g. average) are true. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The origin time of a History does not have to be the time of the first sample - it might be the time of an event such as child-birth with respect to which the samples are recorded, e.g. Apgar</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> scores at 1 and 3 minute offsets. Periodicity and aperiodicity are expressed via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_periodic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>period </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attributes. For a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>periodic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> time-series, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to the period duration value and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_periodic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> returns True. The total duration of the History is given by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>duration</SPAN
+><A href="#LinkTarget_9497">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function. FIGURE 9 illus</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trates a number of variations in History periodicity and Event type. </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Point Events </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The simplest kind of Event in a History is a “point” event, expressed by instances of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, representing an instantaneous value. A History instance many be composed solely of Point events, as would be the case with a number of blood pressure values measured over time as the patient changes position. An Apgar result is a typical example of aperiodic point data, typically con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; margin-left:180px; line-height:13px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> A 0-10 score indicating the health of a newborn based on breathing, heartrate, colour, muscle-tone and reflexes </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:38px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<IMG width=409 height=249 style="display:block; float:none; text-align:left; margin-bottom:33px" src="images/data_structures_im_img_15.png">
+<P style="text-align:left; margin-bottom:33px; margin-right:25px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>periodic, point events </SPAN
+></P>
+<P style="text-align:left; margin-bottom:25px; margin-right:9px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>periodic, interval events </SPAN
+></P>
+<P style="text-align:left; margin-bottom:25px; margin-right:25px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>aperiodic, point events </SPAN
+></P>
+<P style="text-align:left; margin-bottom:14px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>aperiodic, mixed point and interval events </SPAN
+></P>
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Variation in History periodicity and Event width </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sisting of 2 or 3 events, each containing 5 values and a 6th value repersenting the Apgar score for that time point. Point data may also be available from monitoring devices. For fine-granularity (e.g. 1 sec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ond) data, the number of samples may be too voluminous for the health record, and more efficient </SPAN
+><A href="#LinkTarget_9509">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recording in the form of summary Interval events (see below) might be desired. FIGURE 10 illus</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trates the structure of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-right:448px; text-indent:14px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>blood pressure </SPAN
+></P>
+<P style="text-align:left; margin-bottom:33px; margin-left:39px">
+<IMG width=451 height=67 style="display:block; float:left; text-align:left; margin-bottom:33px; margin-left:39px" src="images/data_structures_im_img_16.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>t </SPAN
+></P>
+<IMG width=72 height=52 style="display:block; float:none; text-align:left; margin-bottom:30px" src="images/data_structures_im_img_17.png">
+<IMG width=56 height=127 style="display:block; float:none; margin-bottom:30px" src="images/data_structures_im_img_18.png">
+<IMG width=57 height=127 style="display:block; float:none; margin-bottom:30px" src="images/data_structures_im_img_19.png">
+<IMG width=57 height=125 style="display:block; float:none; text-align:right; margin-bottom:17px" src="images/data_structures_im_img_20.png">
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Structure of HISTORY&lt;T&gt; of POINT_EVENTs </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Interval Events </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instances of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class are used to express values corresponding to an interval in time. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>width</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute defines the duration of the interval; and the inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value corresponds to the trailing edge of the event. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The meaning of an Interval event in this model is that the values effectively summarise actual instan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>taneous values of a datum that have occurred during the period of the event interval. The mathemati</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cal meaning of the data of any particular interval event is given by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>math_function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. This is coded by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology group “event math function”, and takes values such as “mini</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mum”, “maximum”, “average”, “delta” and so on. The particular math functions used in each Interval event in a History may vary throughout the History; for example, one 4-hour Interval event might contain data representing average values, while a following event might contain data representing </SPAN
+></P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>maximum values. Such data can be conveniently used for generating sophisticated graphs of the underlying datum over time. </SPAN
+><A href="#LinkTarget_9533">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 11 illustrates a History containing 2 pairs of 4-hour blood pres</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sure Interval events, with each pair containing maximum and mean blood pressure value structures for +4h and +8h timepoints (each of which consist of a systolic and diastolic value). </SPAN
+></P>
+<IMG width=447 height=429 style="display:block; float:none; margin-bottom:14px" src="images/data_structures_im_img_21.png">
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Interval events can overlap other interval or point events within the same History. A common situa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion where this occurs is with measurement of different periods of vital signs, such as 4-hourly blood pressure events, overlapped by a 24-hour event which contains the values over a period of 6 x 4 hour periods. In general a long Interval event can overlap any combination of Point or Interval events, as shown in </SPAN
+><A href="#LinkTarget_9539">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 12</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<IMG width=396 height=115 style="display:block; float:none; margin-bottom:14px" src="images/data_structures_im_img_22.png">
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Change Data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One subcategory of interval data that deserves mention is change data. There are three event math function terms used for indicating changes in data values as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:65px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“change”: this means that the value recorded is the difference between the value now and the value some time previously. It can be positive or negative; </SPAN
+></P>
+<P style="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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“increase”: the value recorded for the change is positive. The name (i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) chosen for the item in an archetype carries the semantic of positivity e.g. &quot;increase of ....; rise of....; ....gain&quot; etc; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“decrease”: the value recorded for the change is positive. But the name chosen for the item carries the semantic of negativity e.g. &quot;decrease of ....; fall of ....; .... loss&quot;. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following examples show how the data and these math functions are coordinated. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:14px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>weight last week was 76 kg. Wait this week = 74 kg. Possible instances: </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:14px; margin-left:24px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>weight last week was 80 kg. Weight this week = 83 kg. Possible instances: </SPAN
+></LI>
+</ul>
+<TABLE style="margin-bottom:5px">
+<TR>
+<TH style="width:117px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Item Name in Archetype </SPAN
+></TH>
+<TH style="width:86px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Value stored </SPAN
+></TH>
+<TH style="vertical-align:middle; width:110px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Type </SPAN
+></TH>
+<TH style="vertical-align:middle; width:118px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Math Function </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight change” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>+ 2kg </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“change” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight loss” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(+)2kg </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“decrease” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight loss” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“decrease” </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:5px">
+<TR>
+<TH style="width:117px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Item Name in Archetype </SPAN
+></TH>
+<TH style="width:86px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Value stored </SPAN
+></TH>
+<TH style="vertical-align:middle; width:110px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Type </SPAN
+></TH>
+<TH style="vertical-align:middle; width:118px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Math Function </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight change” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(+)3kg </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“change” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight in</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>crease” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(+)3kg </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“increase” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:117px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“weight gain” </SPAN
+></TD>
+<TD style="vertical-align:top; width:86px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True </SPAN
+></TD>
+<TD style="vertical-align:top; width:110px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:118px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“decrease” </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The use of these math function indicators allows the correct representation of change values, no mat</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ter how they were captured, in a computable form. </SPAN
+></P>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Summary Event Data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A relatively common situation particularly in laboratory testing is the existence of a “summarising” event which accompanies more detailed historical data. Examples where this arises include:</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1 </Sup></SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a series of exams with a single radiologist report for all of them (the report might include one or more key images); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>graphical summary of a dynamic challenge test such as Glucose tolerance test; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>some comment about the pattern of values on a set of observed values in series. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Such data are accommodated within the model via the optional </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>summary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which is itself a structure, archetypable separately from the structure of the main data. In the first example above, the summary data might consist of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object containing a textual report; in the second, an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object containing a image within a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. </SPAN
+></P>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Efficient Representation of Fine-grained Device Data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A useful practical consequence of the of Interval Events is that it allows long periods of relatively sta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ble data to be represented with a single Interval event, while interesting perturbations will be repre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><A href="#LinkTarget_9661">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sented with a number of fine-grained Interval or Point Events. In the example in FIGURE 13 5 Event </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instances are used represent 4 hours of data consisting to 14,400 x 1 second samples from a blood pressure monitor. The optional </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sample_count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute can be used to record the number of original samples summarised in the event. In the illustration, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>math_function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is shown as mean; clearly in the first long period, the monitored datum was not absolutely flat. The implication </SPAN
+></P>
+<P style="margin-bottom:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Examples provided by G Grieve of Kestral Computing, Australia </SPAN
+></P>
+<P style="margin-bottom:14px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 3</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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is that the recording software was configured to regard variations in a small band (e.g. 5mm Hg) as insignificant, and only to create new Event objects when the underlying values moved outside the band. Another approach woould have been to create two Interval Event objects for each long period, one giving minimum value, the other maxium value, still based on the principle of generating one such pair for periods when the underlying data remained within specified limits. Regardless of the details, this general approach provides a way to include hours of fine-grained data from devices like vital signs monitors in very little space; the data simply need to be transfomed into equivalent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR History form first. </SPAN
+></P>
+<IMG width=547 height=229 style="display:block; float:none; margin-bottom:9px" src="images/data_structures_im_img_23.png">
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5 x INTERVAL_EVENT instances </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>State </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A feature particular to a model of recording historical data for scientific and clinical use is the ability to record ‘state’. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, ‘state’ is understood as information pertinent to the correct interpreta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion of the primary data. A simple example is where the primary datum is heartrate; useful state data would be the level of exertion of the subject (resting, after 3 minutes cycling etc). In clinical record</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing situations, the state data is often crucial to the safe use of the primary data, since the latter might be normal or abnormal depending on the patient state. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR there are two ways of recording state. One is via the use of a separate </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure within the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class (see </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ehr.composition.content.entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package). The other is via the use of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> defined in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> itself. Experience with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR archetypes and systems has shown that the latter method corresponds to the most common clinical need, which is to be able to record the state at the time of the event (the other method allows for the recording of inde</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>pendent state events). A simple example is the recording of 3 glucose levels during a glucose toler</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ance test. The state information for each event is, respectively (in a typical test): </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0-minute sample: “post 8-hour fast”; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1-hour sample: “post 75g oral glucose challenge”; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:195px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2-hour sample: “post 75g oral glucose challenge”. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="margin-bottom:41px">
+<TR>
+<TD style="vertical-align:top; width:495px; height:14px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+</TD>
+<TD style="text-align:right; vertical-align:top; width:153px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:495px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:153px; height:22px">
+<A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 1.7 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="vertical-align:bottom; width:495px; height:29px">
+<A href="#LinkTarget_9712">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The History structure for this example is illustrated in FIGURE 14. </SPAN
+></A>
+</TD>
+<TD style="text-align:right; vertical-align:top; width:153px; height:29px"/>
+</TR>
+</TABLE>
+<P style="text-align:; margin-right:139px; margin-left:209px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#0000FF"
+>x </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>9.0 mmol/l </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:9px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>blood </SPAN
+></P>
+<P style="text-align:; margin-bottom:10px; margin-left:348px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#0000FF"
+>x </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>6.0 mmol/l </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>glucose </SPAN
+><SPAN style=" font-weight:normal"
+><IMG width=356 height=104 style="vertical-align:text-bottom; text-align:left; margin-bottom:25px" src="images/data_structures_im_img_24.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#0000FF"
+>x </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4.5 mmol/l </SPAN
+></SPAN
+></P>
+<P style="text-align:; margin-bottom:10px; margin-right:8px; margin-left:401px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>t </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0 min 1 hr </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2 hr </SPAN
+></P>
+<IMG width=460 height=132 style="display:block; float:none; margin-bottom:4px" src="images/data_structures_im_img_25.png">
+<P style="text-align:; margin-bottom:14px; margin-left:190px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Snomed::10000014 Snomed::10000003 Snome</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>d::10000003 “post 8hr fast” “post 75mg glucose “post 75mg glucose challenge” challenge” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 14 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>State in HISTORY </SPAN
+></P>
+<P style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_9714" style="text-align:left; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>HISTORY&lt;T: ITEM_STRUCTURE&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:26px">
+<CAPTION  style="margin-bottom:26px">
+<P style="margin-bottom:26px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HISTORY&lt;T: ITEM_STRUCTURE&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Root object of a linear history, i.e. time series structure. For a periodic series of events, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will be set, and the time of each Event in the History must corre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>spond; i.e. the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>offset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> must be a multiple of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for each Event. Missing events in a period History are however allowed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time was encoded as part of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Item </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time was encoded as part of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HIERARCHICAL_PROPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIST&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is equivalent in intention to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for histories of primitive values; for histories of complex data, Act/Act-relationship structures have to be used. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_STRUCTURE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time origin of this event history. The first event is not necessarily at the origin point. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>events</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List &lt;EVENT&lt;T&gt;&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The events in the series. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HISTORY&lt;T: ITEM_STRUCTURE&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Period between samples in this segment if periodic. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>duration</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Duration of the entire History; either cor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>responds to the duration of all the events, and/or the duration represented by the summary, if it exists. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>summary</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional summary data expressing e.g. text or image which summarises entire History. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_periodic</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether history is periodic. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_hierarchy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generate a CEN EN13606-compatible hierarchy of the physical representation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:120px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:120px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>origin_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: origin /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>events_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (events /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> events.is_empty) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> summary /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>periodic_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_periodic </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> period = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>period_consistency</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_periodic </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> events.for_all (e: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> | e.off</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set.to_seconds.mod(period.to_seconds) = 0) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_9793" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EVENT &lt;T: ITEM_STRUCTURE&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:35px">
+<CAPTION  style="margin-bottom:35px">
+<P style="margin-bottom:35px; line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EVENT &lt;T: ITEM_STRUCTURE&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines the abstract notion of a single event in a series. This class is generic, allowing types to be generated which are locked to particular spatial types, such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT&lt;ITEM_LIST&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Subtypes express point or intveral data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data type HistoryItem </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HXIT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is close to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in its intent. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:219px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:317px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DATE_TIME </SPAN
+></TD>
+<TD style="width:317px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time of this event. If the width is non-zero, it is the time point of the trailing edge of the event. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: T </SPAN
+></TD>
+<TD style="vertical-align:top; width:317px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data of this event. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:317px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional state data for this event. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:219px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:317px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; 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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EVENT &lt;T: ITEM_STRUCTURE&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(redefined) </SPAN
+></TH>
+<TD style="vertical-align:top; width:219px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: HISTORY&lt;T&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:317px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Redefinition of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TH>
+<TD style="vertical-align:top; width:219px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>offset</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DURATION </SPAN
+></TD>
+<TD style="width:317px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Offset of this event from origin, computed as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.diff(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TH>
+<TD colspan=2 style="vertical-align:top; width:535px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Time_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: time /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Offset_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: offset /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> offset = time.diff(parent.origin) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_9855" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>POINT_EVENT &lt;T: ITEM_STRUCTURE&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>POINT_EVENT &lt;T: ITEM_STRUCTURE&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines a single point event in a series. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:219px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:317px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_9873" style="margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>INTERVAL_EVENT &lt;T: ITEM_STRUCTURE&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:58px">
+<CAPTION  style="margin-bottom:58px">
+<P style="margin-bottom:58px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERVAL_EVENT &lt;T: ITEM_STRUCTURE&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines a single interval event in a series. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:219px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:317px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>width</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DURATION </SPAN
+></TD>
+<TD style="width:317px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Length of the interval during which the state was true. Void if an instantaneous event. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>math_function</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:317px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mathematical function of the data of this event, e.g. “maximum”, “mean” etc. Coded using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology group “event math function”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:219px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>sample_count</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Integer </SPAN
+></TD>
+<TD style="width:317px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional count of original samples to which this event corresponds. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:219px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:317px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:219px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>interval_start_time</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:317px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Start time of the interval of this event. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:14px; line-height:15px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:25px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>History Package </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<IMG width=649 height=161 style="display:block; float:none; margin-bottom:21px" src="images/data_structures_im_img_26.png">
+<P style="text-align:left; margin-bottom:25px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Width_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: width /= Voi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Math_function_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: terminology(Terminology_id_openehr)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_for_group_id(Group_id_event_math_function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>math_function.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Interval_start_time_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: interval_start_time /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> interval_start_time </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>= 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time - widt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>h 
+</SPAN
+></P>
+<P ID="LinkTarget_9931" style="text-align:justify; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>History Instance Structures </SPAN
+></P>
+<P ID="LinkTarget_9932" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Single Sample </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<A href="#LinkTarget_9938">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 15</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a single weight measurement. The Event objects contain the timing informa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion, which in this case is simply the time of measurement (the origin). </SPAN
+></P>
+<IMG width=413 height=108 style="display:block; float:none; text-align:left; margin-bottom:21px" src="images/data_structures_im_img_27.png">
+<P style="text-align:justify; margin-left:215px">
+<IMG width=195 height=81 style="display:block; float:left; text-align:left; margin-bottom:21px; margin-left:215px" src="images/data_structures_im_img_28.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:justify; margin-left:311px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>data </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>items </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-18px; margin-right:61px; margin-left:215px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “weight” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>weight</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></P>
+<IMG width=16 height=8 style="display:block; float:none; text-align:right; margin-bottom:46px; margin-left:325px" src="images/data_structures_im_img_29.png">
+<P ID="LinkTarget_9949" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5-minute Blood Pressure Averages </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:25px; line-height:19px">
+<A href="#LinkTarget_9954">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 16</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates two Interval events representing 5 minute blood pressure averages, the first at 5 minutes’ offset from an initial event and lasting 5 minutes, the second 5 minutes later. </SPAN
+></P>
+<IMG width=529 height=263 style="display:block; float:none; margin-bottom:8px" src="images/data_structures_im_img_30.png">
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </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_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_9967" style="text-align:justify; margin-bottom:25px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></P>
+<P ID="LinkTarget_9968" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>et al</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design Principles for the EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/openEHR</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schloeffel P. (Editor). Requirements for an Electronic Health Record Reference Architecture. International Standards Organisation, Australia; Feb 2002; ISO TC 215/SC N; ISO/WD 18308. </SPAN
+></P>
+<P ID="LinkTarget_9979" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>European Projects </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R., Grubb P.A., Lloyd D., and Kalra D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Consolidated List of Requirements. EHCR Sup</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>port Action Deliverable 1.4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. European Commission DGXIII, Brussels; May 200159pp Availa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ble from </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHCR Support Action Deliverable 2.4 &quot;Guidelines on Interpreta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion and implementation of CEN EHCRA&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tp://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ingram D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Good European Health Record Project</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Laires, Laderia Christensen, Eds. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>H</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ealth in the New Communications Age. Amsterdam: IOS Press; 1995; pp. 66-74. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 19,20,24: GEHR Architecture. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 30/6/1995 </SPAN
+></P>
+<P ID="LinkTarget_10003" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-4 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P ID="LinkTarget_10008" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>OMG </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Person Identification Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lexicon Query Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) </SPAN
+></P>
+<P ID="LinkTarget_10013" style="text-align:left; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Software Engineering </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 2nd Ed. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Prentice Hall 1997 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:33px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Fowler M. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Analysis Patterns: Reusable Object Models. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley 1997 </SPAN
+></P>
+<P style="margin-bottom:14px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 3</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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:14px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+><A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>15 Fowler M, Scott K. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UML Distilled (2nd Ed.). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley Longman 2000 </SPAN
+></P>
+<P ID="LinkTarget_10033" style="text-align:justify; margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Resources </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:846px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>16 IANA -</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.iana.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.iana.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 26 Sep 2006 </SPAN
+></A>
+<A href="#LinkTarget_10053">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 39 </SPAN
+></A>
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left">
+<A href="#LinkTarget_7970">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Structures Information Model </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_8105">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:14px">
+<A href="#LinkTarget_7976">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_10052">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 39 </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_8109">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>26 Sep 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_8092">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</DIV>
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+</HTML>
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+<A href="#LinkTarget_17868">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17917">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18186">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18230">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18677">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18679">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18701">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18714">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18724">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18731">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18761">2 Background</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18763">2.1 Scope</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18772">2.2 Design Criteria</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18803">2.3 Prior Work</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18820">3 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18822">3.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18826">3.2 Package Structure</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18863">4 Basic Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18865">4.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18889">4.1.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18937">4.1.2 Design</A>
+</LI>
+</UL>
+</LI>
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+<A href="#LinkTarget_18955">4.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18969">4.2.1 DATA_VALUE Class</A>
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+<A href="#LinkTarget_19162">5.1 Overview</A>
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+<LI>
+<A href="#LinkTarget_19187">5.1.1 Requirements</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19228">5.1.1.1 Narrative Text</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19254">5.1.1.2 Terminological Entities</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19314">5.1.2 Design</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19343">5.1.3 Qualification</A>
+</LI>
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+<A href="#LinkTarget_19346">5.1.4 Meaning Modification</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19349">5.1.4.1 Mode-changing Terms</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19352">5.1.4.2 Context Sensitivity</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19383">5.1.4.3 Negation</A>
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+<A href="#LinkTarget_19386">5.1.4.4 Representation of Meaning-Modifying Terms</A>
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+<A href="#LinkTarget_19408">5.1.5 Mappings</A>
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+<A href="#LinkTarget_19411">5.1.5.1 Classification (Broader Terms)</A>
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+<A href="#LinkTarget_19573">5.2.2 TERM_MAPPING Class</A>
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+<UL>
+<LI>
+<A href="#LinkTarget_21337">8.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_21367">8.1.1 Requirements</A>
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+<A href="#LinkTarget_21405">8.1.2 Design</A>
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+<A href="#LinkTarget_21423">8.2 Class Descriptions</A>
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+<A href="#LinkTarget_21424">8.2.1 DV_TIME_SPECIFICATION Class</A>
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+<A href="#LinkTarget_21482">8.2.2 DV_PERIODIC_TIME_SPECIFICATION Class</A>
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+<A href="#LinkTarget_21541">8.2.2.1 Phase-linked Time Specification Syntax</A>
+</LI>
+<LI>
+<A href="#LinkTarget_21568">8.2.2.2 Event-linked Periodic Time Specification Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_21583">8.2.3 DV_GENERAL_TIME_SPECIFICATION Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_21639">8.2.3.1 General Time Specification Syntax</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_21688">9 Encapsulated Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_21690">9.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_21701">9.1.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_21752">9.1.2 Design</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_21778">9.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_21780">9.2.1 DV_ENCAPSULATED Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_21850">9.2.2 DV_MULTIMEDIA Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_21967">9.2.3 DV_PARSABLE Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_22038">10 Uri Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22040">10.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22056">10.1.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22061">10.1.2 Design</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_22077">10.2 Definitions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22081">10.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22082">10.3.1 DV_URI Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22156">10.3.2 DV_EHR_URI Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22197">10.3.2.1 DV_EHR_URI Syntax</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_22216">11 Implementation Strategies</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22218">11.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22221">11.2 Quantities and Ordered_numeric</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22233">11.3 Unicode</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22257">11.4 Dates and Times</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_22273">12 Comparison with HL7v3 Types</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22275">12.1 Scope</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22338">12.2 Design Differences</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22341">12.2.1 Naming</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22358">12.2.2 Identification</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22374">12.2.3 Archetyping</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22377">12.2.4 Treatment of Inbuilt Types</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22421">12.2.5 Use of Null Markers</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22557">12.2.6 Terminology Approach</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22560">12.2.7 Date/Time Approach</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22563">12.2.8 Time Specification Types</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22591">12.2.9 Type Conversions</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_22622">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_22624">A.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22660">A.2 European Projects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22667">A.3 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22675">A.4 GEHR Australia</A>
+</LI>
+<LI>
+<A href="#LinkTarget_22697">A.5 HL7</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/data_types_im_img_0.png">
+<IMG width=423 height=232 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/data_types_im_img_1.png">
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>b </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_17930">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</TD>
+<TD style="text-align:center; width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>91 </SPAN
+></A>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12 Apr 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:38px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, ADL, health records, modelling, constraints </SPAN
+></P>
+<TABLE style="margin-bottom:88px">
+<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:#ADADAD"
+>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:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#96FF52; 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:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; background-color:#C9FF5C; 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:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>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:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="width:151px; height:23px; background-color:#C9FF5C; 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:#ADADAD"
+>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="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:#ADADAD"
+>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:#D6FBF9; 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:#ADADAD"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; 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; color:#000000"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></P>
+<P style="margin-bottom:20px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<DIV class="Part"
+><H4 ID="LinkTarget_17868">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Copyright Notice </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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: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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:0px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_17917" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:107px">
+<CAPTION  style="margin-bottom:107px">
+<P style="margin-bottom:107px; line-height:15px">
+<A href="#LinkTarget_17844">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:94px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:97px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; 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; vertical-align:top; width:94px; height:475px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:354px; height:475px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000144</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add new type: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PROPORTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000198</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change DV_Date/Time/Duration to have value as attribute. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000199</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>normal_range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct Release 1.0 typographical errors. Correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>size</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to abstract in definition table. Correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in UML of basic package to be </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>symbol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> type to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in UML diagram for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. Add missing inheritance of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>Ordered</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000205</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Convert Date/time constants to a class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000211</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>magnitude_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000215</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Merge </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARTIAL_XX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> date/time classes and move ISO 8601 semantics to Support IM. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_WORLD_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000216</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Allow mixture of W, D etc in ISO8601 Duration (deviation from standard). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to terminology in RM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000221</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>normal_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Adjusted invariants. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000227</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY_RATIO</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000230</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to_quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to seconds </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000236</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change use of Character to Octet in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000237</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct semantics of Quantity and Date/Time types. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000240</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Allow </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>values to be negative. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000247</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEMPORAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to Quantity package. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:475px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard S Heard S Heard H Frankel S Heard G Grieve D Lloyd R Chen G Grieve D Lloyd S Heard T Beale S Heard R Chen H Frankel S Heard C Ma G Grieve T Beale G Grieve R Chen H Frankel </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:475px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>12 Apr 2007 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; 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:94px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.0.0 </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:354px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000176</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> optional. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000163</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add identifiers to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> for originating and gateway systems. Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>assigner</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000121</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>model to support Xpath style paths. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000161</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support distributed versioning. Remove functions from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard H Frankel T Beale T Beale H Frankel </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>01 Feb 2006 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; 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:94px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; 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:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.9.1 </SPAN
+></TD>
+<TD style="text-align:right; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Improve implementation guidance. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>limits</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> type corrected to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>REFERENCE_RANGE&lt;DV_ORDINAL&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Feb 2005 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:15px; margin-left:488px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:75px">
+<CAPTION  style="margin-bottom:75px">
+<P style="margin-bottom:75px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:94px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:97px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.9 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000126</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct details of partial date/time classes. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000112</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARTIAL_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000113</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> subtype for identifying real-world entities </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000119</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve Data types documentation. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000102</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> optional. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale DSTC DSTC T Beale T Beale DSTC </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Dec 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; 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:94px; height:235px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.8 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:235px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000023</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should be coded/enumerated. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000069</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct date/time types statistical descriptions. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000046</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000084</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_COUNTABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_COUNT. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000090</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> optional. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000091</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct anomalies in use of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000094</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add lifecycle state attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000095</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>property</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute from Quantity package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:235px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>G Grieve A Goodchild T Beale DSTC DSTC T Beale DSTC DSTC, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:235px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Mar 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.9 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000066</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>normal_range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a function. Correct UML for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Nov 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.8 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000053</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>limits</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a function. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000054</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_normal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000055</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Redefine </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>less_than</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> as infix function '&lt;'. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale T Beale T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>02 Nov 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000034</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. State representation of date/time classes to be ISO8601. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000052</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>sign</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to prefix &quot;-&quot; operation. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000042</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rubric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute not needed. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd, DSTC, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>26 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.6 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename key classes, according to CEN ENV 13606. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000026</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000031</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change abstract </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>NUMERIC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DOUBLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>value. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra, T Beale, A Goodchild, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>01 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:94px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.5 </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'; font-size:9.9pt; color:#000000"
+>CR-000022</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Code </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; width:97px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>G Grieve </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.4 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000020</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>territory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>A Goodchild </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.3 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> now inherits from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to avoid duplicating semantics. (Formally validated). </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Mar 2003 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:27px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:22px">
+<CAPTION  style="margin-bottom:22px">
+<P style="margin-bottom:22px; line-height:15px">
+<A href="#LinkTarget_17844">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:94px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:97px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:89px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:89px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections to diagrams in Text package. Improved heading structure, package naming. Corrected error in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package diagram. Replaced </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TEXT_FORMAT_PROPERTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class with string attribute of same form. Made </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>media_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> mandatory. (Formally validated). </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:89px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:89px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>21 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Moved </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>definitions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>assumed types </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to Support Reference Model. No semantic changes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:283px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:283px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2. CR-000001</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Review of Data Types specification. Made pluralities of Terminology name definitions (sect 3.2.1) consistent. Corrected types of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>integrity_check_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>compression_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>media_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Corrected pluralities of Terminology name definitions (sect 3.2.1). Corrected invariants of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_MULTI_MEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Corrected </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>formatting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> validity function. Made </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>limits</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> an attribute. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>source</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; changed type to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COOORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Corrected time specification classes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:283px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:283px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>17 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Rome CEN TC 251 meeting. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Updates to HL7 comparison text. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> now inherits from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CUSTOMARY_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>27 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Sam Heard complete review</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changed constant terminology defs to runtime-evaluated set; removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PHYSICAL_DATA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added new chapter for generic implementation guidelines, and new section for assumed types. Post-conditions moved to invariants: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_simple</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARTIAL_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>probable_date</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>possible_dates</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARTIAL_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>probable_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>possible_times</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Minor updates to HL7 comparison text. Added explanation to HL7 section. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>13 Dec 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.9 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>units </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>defined to be </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class (but semantically equivalent). </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.8 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Changed name of LINK package to URI. Major update to Text cluster classes and explanation. Updated HL7 data type comparison. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra, D Lloyd, M Darlison </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> reverted to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TEXT_LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> no longer a data types; renamed to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LINK </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and moved to Common RM. Link package renamed to “URI”. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, Z Tun, T Beale, D Kalra, M Darlison </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.6 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Rewrite of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TIME_SPECIFICATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> parse specs. Adjustments to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 Sep 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:27px; margin-left:488px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:94px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="vertical-align:middle; width:97px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.5 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Timezone not allowed on pure </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> in ISO8601. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2 Sep 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.4 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>property</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attributes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Introduced </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_WORLD_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to_quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>29 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Further corrections - removed derived ‘/’ markers; renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>granularity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improved explanation of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> is now a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>REFERENCE_RANGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> is now a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> is now a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>type </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is now a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Detailed review by Zar Zar Tun (DSTC). </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard, P Schloeffel, D Lloyd, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Further corrections - removed derived ‘/’ markers; renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>granularity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections. </SPAN
+></TD>
+<TD style="width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Rewrite of section describing text types; addition of new attribute </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>mappings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removal of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_REFERENCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>concept_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.3 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor changes to text. Corrections to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> relationships. Made </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>lower_unbounded</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>upper_unbounded</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> functions. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 Jul 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> changed to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> (typo in table). Added abstract class </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_WORLD_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>14 Jul 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Changes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> invariants. </SPAN
+></TD>
+<TD style="width:97px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jul 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>text_equivalent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> renamed to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>alternate_text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added invariant for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>QUAN</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>precision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Jul 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>timezone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>sign</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>linguistic_order</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_RELATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>as_display_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>as_canonical_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to all types. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_terminal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> as </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>30 Jun 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:94px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections to Text package. </SPAN
+></TD>
+<TD style="width:97px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 May 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:94px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Numerous small changes, including: term equivalents, relationships and quantity reference ranges. </SPAN
+></TD>
+<TD style="vertical-align:top; width:97px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd, D Kalra, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 May 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:94px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Separated from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR Reference Model. </SPAN
+></TD>
+<TD style="width:97px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5 May 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_18186" style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:46px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded by a number of organisations, including The University College, London; The Cooperative Research Centres Program through the Department of the </SPAN
+></P>
+<P style="text-align:left; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:905px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Prime Minister and Cabinet of the Commonwealth Government of Australia; Ocean Informatics, Australia. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17844">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_17799">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_17862">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18230" style="text-align:justify; margin-bottom:0px; margin-left:257px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Copyright </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Notice ...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+<A href="#LinkTarget_17917">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Amendment Record ................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+<A href="#LinkTarget_18186">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Acknowledgements .................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+<A href="#LinkTarget_18230">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Table of Contents ....................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_18677">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction............................................................................ 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18679">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose.................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18701">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18714">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status....................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18724">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ..........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_18731">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_18761">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Background ............................................................................ 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18763">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Scope....................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18772">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Design Criteria.....................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_18803">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.3 Prior Work............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_18820">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 Introduction............................................................................ 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18822">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_18826">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Package Structure.................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_18863">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 Basic Package ......................................................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18865">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18889">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1.1 Requirements .................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18937">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1.2 Design............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18955">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 Class Descriptions................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18969">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 DATA_VALUE Class ....................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_18992">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 DV_BOOLEAN Class...................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19045">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 DV_STATE Class ..........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_19083">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.4 DV_IDENTIFIER Class................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19160">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 Text Package........................................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19162">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19187">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.1 Requirements .................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19228">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.1.1 Narrative Text .............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19254">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.1.2 Terminological Entities ...............................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19314">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.2 Design............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19343">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.3 Qualification ..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19346">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.4 Meaning Modification ...................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19349">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.4.1 Mode-changing Terms ................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19352">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.4.2 Context Sensitivity ......................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19383">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.4.3 Negation ......................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19386">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.4.4 Representation of Meaning-Modifying Terms ...........................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19408">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.5 Mappings .......................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19411">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.5.1 Classification (Broader Terms) ...................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19443">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.5.2 Equivalent / Synonymous Terms ................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19450">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.5.3 More Specific Mappings (Narrower Terms) ...............................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19453">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.5.4 The Unified Medical Language System (UMLS) .......................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_19472">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.5.5 Legacy Mapping Scenarios .........................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<A href="#LinkTarget_19485">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.6 Language Translations...................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<A href="#LinkTarget_19488">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Class Descriptions................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:11px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19489">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.1 DV_TEXT Class ........................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19573">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.2 TERM_MAPPING Class .............................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19647">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.3 CODE_PHRASE Class.................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19687">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.4 DV_CODED_TEXT Class ...........................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_19733">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.5 DV_PARAGRAPH Class.............................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19810">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>6 Quantity Package................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19812">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview ............................................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19842">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1.1 Requirements................................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20000">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1.2 Design............................................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20113">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20114">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.1 DV_ORDERED Class................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20200">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.2 DV_INTERVAL&lt;T : DV_ORDERED&gt; Class.............................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20232">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.3 REFERENCE_RANGE&lt;T:DV_ORDERED&gt; Class .................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20287">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.4 DV_ORDINAL Class ................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20355">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.5 DV_QUANTIFIED Class ............................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20418">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.6 DV_AMOUNT Class....................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20485">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.7 DV_QUANTITY Class.................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20564">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.8 Units Syntax .................................................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20612">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.9 DV_COUNT Class........................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20656">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.10 DV_PROPORTION Class............................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20738">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.11 PROPORTION_KIND Class ........................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_20798">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.12 DV_ABSOLUTE_QUANTITY Class..........................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20851">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 Date Time Package ................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20853">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1 Overview ............................................................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20867">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1.1 Requirements................................................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_20931">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1.2 Design............................................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21005">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2 Class Descriptions ............................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21006">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.1 DV_TEMPORAL Class................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21028">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.2 DV_DATE Class ........................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21102">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.3 DV_TIME Class............................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21175">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.4 DV_DATE_TIME Class ...............................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_21251">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.5 DV_DURATION Class.................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21335">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>8 Time_specification Package .................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21337">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1 Overview ............................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21367">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.1 Requirements................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21405">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.2 Design............................................................................................ 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21423">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2 Class Descriptions ............................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21424">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.1 DV_TIME_SPECIFICATION Class.............................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21482">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.2 DV_PERIODIC_TIME_SPECIFICATION Class........................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21541">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8.2.2.1 Phase-linked Time Specification Syntax ....................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21568">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8.2.2.2 Event-linked Periodic Time Specification Syntax ......................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21583">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.3 DV_GENERAL_TIME_SPECIFICATION Class........................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_21639">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8.2.3.1 General Time Specification Syntax ............................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21688">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 Encapsulated Package ........................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21690">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.1 Overview ............................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21701">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.1.1 Requirements................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:27px">
+<A href="#LinkTarget_21752">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.1.2 Design............................................................................................ 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:34px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21778">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.2 Class Descriptions................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21780">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.2.1 DV_ENCAPSULATED Class.......................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_21850">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.2.2 DV_MULTIMEDIA Class ............................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_21967">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9.2.3 DV_PARSABLE Class..................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22038">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>10 Uri Package ............................................................................ 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22040">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.1 Overview..............................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22056">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.1.1 Requirements .................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22061">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.1.2 Design............................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22077">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.2 Definitions ...........................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22081">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.3 Class Descriptions................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22082">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.3.1 DV_URI Class...............................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22156">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>10.3.2 DV_EHR_URI Class.....................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_22197">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10.3.2.1 DV_EHR_URI Syntax ................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22216">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>11 Implementation Strategies .................................................... 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22218">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>11.1 Overview..............................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22221">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>11.2 Quantities and Ordered_numeric .........................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22233">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>11.3 Unicode................................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_22257">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>11.4 Dates and Times...................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22273">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>12 Comparison with HL7v3 Types ............................................ 8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22275">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.1 Scope....................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22338">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2 Design Differences...............................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22341">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.1 Naming ..........................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22358">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.2 Identification..................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22374">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.3 Archetyping ...................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22377">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.4 Treatment of Inbuilt Types ............................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22421">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.5 Use of Null Markers ......................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22557">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.6 Terminology Approach..................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22560">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.7 Date/Time Approach......................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22563">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.8 Time Specification Types ..............................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_22591">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>12.2.9 Type Conversions ..........................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22622">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References............................................................................... 8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22624">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 General.................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22660">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.2 European Projects ................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22667">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.3 CEN .....................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22675">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.4 GEHR Australia...................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_22697">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.5 HL7 ......................................................................................................9</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18677">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18679">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document defines the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model, used throughout the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model. The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development organisations developing EHR systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups studying the EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical informaticians and clinicians intersted in health information; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health data managers. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18701">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18714">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/data_types_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/data_types_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/data_types_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_types_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_types_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/data_types_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18724">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main content. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18731">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is determined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:905px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, automated derivations from the Reference Model, ITS conformance indicates RM conformance. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Background Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18761">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Background </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18763">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Scope </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data type specification presented here defines the clinical/scientific data types which are used in other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. Harmonisation of data types between information models used by related services in a health information infrastructure is essential to reducing the conversion work and potential for errors between these services. Accordingly, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data type specification is intended to work not only for the EHR, but also for other models defined by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, such as the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR demographic and terminological models. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<A href="#LinkTarget_22675">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The types described here have been derived from data types used in the GEHR [14], Synapses and </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SynEx </SPAN
+><A href="#LinkTarget_22660">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[10], CEN 13606 </SPAN
+></A>
+<A href="#LinkTarget_22667">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[11]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><A href="#LinkTarget_22670">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[13]</SPAN
+></A>
+<A href="#LinkTarget_22697">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and the HL7v3 [15] reference models. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18772">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Criteria </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Over and above the need to satisfy the functional requirements of clinical data, three concerns have driven the design of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types: </SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>clarity of expression </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ease of implementation </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>interoperability with data types from other standards </SPAN
+></LI>
+</ol>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The first of these has led to models which try to clearly convey the semantics of types required by the clinical domain. The use of constraints (pre- and post-conditions and class invariants) and a comprehensible class structure ensures formal self-consistency, correct type-substitutability and implementability in object-oriented formalisms. Types have been designed so as not to clash with norms of object-oriented languages and libraries, in particular, class names and the inbuilt types. Accordingly, all types presented here have a logical name commencing with ‘</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>’, ensuring that there is no clash with a type in the implementation formalism, hence the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>presented here will not be confused with the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which appears in many programming languages or libraries. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented languages which have been considered include IDL, C++, Java, C#, Eiffel, Delphi and Python. Each of these languages obeys some variant of the well-known semantics of classes, encapsulation, typing and inheritance. The data types described here follow the tenets of object-orientation defined in UML most closely, while being careful not to invalidate their implementation in any language. The models have all been validated by implementation in the Eiffel language, the closest available semantic fit for UML, and currently the most powerful of mainstream object-oriented formalisms. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Implementability in XML-schema has also been an important design criterion, and the current data types remove many of the problems which the GEHR and CEN data types presented for XML-schema. There has been no attempt to support XML-DTD, since it has no type system, and cannot reliably be reasoned about in an object-oriented way. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To simplify implementation in all object-oriented formalisms, including IDL, programming languages and XML-schema, multiple inheritance has generally been avoided (where it is used, only onr branch corresponds to substitutability). Generic classes have been used, since they significantly clarify the model. Type genericity is available in Java, C#, Eiffel, C++, and some othre languages. For languages not having it, there is a well-known transformation from models containing generic classes </SPAN
+><A href="#LinkTarget_22631">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to classes for non-generic types systems (see for example [3]). </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Background </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Implementability in relational databases has also been considered, and appears relatively straightforward, since only the data view of the types needs to be represented. Many implementations are likely to use only a single String or XML string to represent each entire data instance, which significantly simplifies things. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18803">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Prior Work </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Four other type systems for clinical data, namely the GEHR data types, the HL7 v3 data types, the CEN 13606 data item types, and the Corbamed data types were carefully scrutinised in order to ensure a) that all needed types were covered in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specification, and b) that data conversion will be possible. Concepts from all three are cross-referenced throughout this specification where possible. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:619px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Because the HL7v3 data type specification is a widely available and comprehensive specification for clinican data types, particular attention has been paid to incorporating its semantics, as well as fixing errors or shortcomings. While there are differences both in design approach and in detail, a significant debt must be recognised to the authors of this work, from which many ideas in the present specification were drawn. A detailed discussion is found under </SPAN
+><A href="#LinkTarget_22269">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Comparison with HL7v3 Types on page 81</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18820">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18822">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This specification describes a set of types suitable for use in scientific, clinical and related information structures. In order for such types to exist, a set of primitive types is assumed, namely </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Character</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Octet</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. These have standard definitions in the OMG object model used in UML, OCL, and are available in almost all type systems. The exact assumptions are described in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model. A number of symbolic definitions (similar to constants in programming) are also described in the Support IM. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data types described here are named with the class prefix “</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>”, and inherit from the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. They have two distinct uses in reference models. Firstly, they may be used as ‘data values’ in reference model structures wherever the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class appears, for example, in the EHR Reference Model via the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute. Additionally, specific subtypes of the data types described here can also be used as attribute types in other classes in reference models, such as date/times, coded terms and so on. The difference is that in the former case, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>only</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> may be used, whilst in the latter case, other types may be used as well, from the assumed set of basic types. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18826">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Package Structure </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:84px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The package structure of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types is illustrated in </SPAN
+><A href="#LinkTarget_18849">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1. </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:15px; margin-right:506px; margin-left:44px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>E </SPAN
+></P>
+<IMG width=619 height=265 style="display:block; float:none; text-align:center; margin-bottom:15px" src="images/data_types_im_img_2.png">
+<P style="text-align:justify; margin-bottom:0px; margin-right:423px; margin-left:18px; text-indent:-17px; line-height:39px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>data_type</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>s </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>basi</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>c </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:46px; margin-left:162px; line-height:39px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>tex<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt"
+>t </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>time_specificatio<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt"
+>n </SPAN
+></SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>ur<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt"
+>i </SPAN
+></SPAN
+></P>
+<P style="text-align:; margin-bottom:46px; margin-left:297px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>encapsulated</SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:46px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>quantit</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>y </SPAN
+></H4>
+<P style="text-align:; margin-bottom:84px; margin-right:237px; margin-left:83px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>date_tim</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>e </SPAN
+></P>
+<P style="margin-bottom:196px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>openehr.rm.data_types Package </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Basic Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18863">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Basic Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18865">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.basic</SPAN
+><A href="#LinkTarget_18887">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, illustrated in FIGURE 2, contains types for the concepts of bi</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state, state (in a state machine) and real-world entity identifiers (see the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common IM for a discussion on identifier types). </SPAN
+></P>
+<P style="margin-bottom:11px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>OPENEHR_DEFINITION</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>S </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(support.definition</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<TABLE style="margin-bottom:25px">
+<TR>
+<TH colspan=3 style="width:469px; height:17px; border-style: none none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>basi</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>c </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=3 style="width:469px; height:54px; border-style: solid none none none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>E </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:137px; height:115px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_BOOLEA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>N </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>value[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>Boolean </SPAN
+></TH>
+<TD style="width:213px; height:115px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_STAT</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>E </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>value[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_CODED_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>is_terminal[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:119px; height:115px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_IDENTIFIE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>R </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>issuer[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>assigner[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>id[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>type[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_types.basic Package </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18889" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Bi-state Values </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the most basic types of data is boolean or bi-state data. The need here is for a type which both includes a boolean value, and which inherits from the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, enabling it to be used as an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>State Machine States </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A type is required to represent state values of a state machine. In a simple system of data types, a simple integer would appear sufficient to perform this job. However, in an archetyped framework, a distinct type is required, so that it can be archetyped not by the constraints used for integers, but by a state machine definition instead. The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is provided for this purpose. An example of a state machine which models the lifecycle of a medication order is illustrated in </SPAN
+><A href="#LinkTarget_18915">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This definition would appear in an archetype; the values of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object are then restricted to the values of the states in the definition. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Real-world Entity Identification </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:46px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Real world entities (RWEs) such as people, car engines, invoices, and appointments may all be assigned identifiers. Although many of these are designed to be unique within a jurisdiction or issuing space, they are often not, due to data entry errors, bad design (ids which are too small or incorporate some non-unique characteristic of the identified entities), bad process (e.g. non-synchronised id issuing points); identity theft (e.g. via theft of documents of proof or hacking). In general, while some real world identifiers (RWIs) are “nearly unique”, none can be guaranteed so. Therefore, from a strict computatoinal point of view, RWIs are not treated as reliable identifiers, but as attributes of their owning objects, in the same ways as names and addresses for example. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:34px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Basic Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>star</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>t </SPAN
+></P>
+<IMG width=616 height=169 style="display:block; float:none; text-align:center; margin-bottom:28px" src="images/data_types_im_img_3.png">
+<P style="margin-bottom:6px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Example State Machine for Medication Orders </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples of RWE identifiers which are intended to be unique within the space of the issuing authority or organisation include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>driver’s licence id </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>social security number </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>passport number </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>prescription id </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The defining logical characteristic of RWE ids is that they continue to identify the entities in question, regardless of how they change in time; for example a social security number does not change when someone changes their hair colour or even their gender (both of which attributes may be recorded in the database). In general it should be the case that if two RWE ids are equal, they refer to the same RWE. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>At a practical level, RWE identifiers differ from information entity (IE) identifiers in that the former are generally not assigned by the computing infrastructure that uses them - that is to say, in the production computing system, such identifiers are no different from other characteristics of the entity, such as names or addresses. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18937" style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model defined here in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class allows the recording of three things as part of identifying an item of interest: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the issuing authority of the kind of id used (e.g. it might be the federal department of health); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the assigner of the id to the item being identified. This is usually the organisation which created the item being identified; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the identifier given to the item of interest. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In addition, the type of item being identified can also be recorded. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>See the Support IM specification for a further discussion of RWEs and IEs, and the definition of IEs in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18955" style="margin-bottom:75px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Basic Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18969" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DATA_VALUE Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TD style="width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DATA_VALUE (abstract) </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TH>
+<TD style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Serves as a common ancestor of all data value types in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TH>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.1 - 3.13 </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TH>
+<TD style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Data_Item class in CEN is a mixture of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TH>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::ObservationValue </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TH>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DataValue (ANY) </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TH>
+<TD style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18992" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_BOOLEAN Class </SPAN
+></P>
+<TABLE style="margin-bottom:115px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_BOOLEAN </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Items which are truly boolean data, such as true/false or yes/no answers. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For such data, it is important to devise the meanings (usually questions in subjective data) carefully, so that the only allowed results are in fact true or false. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_BOOLEAN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class should not be used as a replacement for naively modelled enumerated types such as male/female etc. Such values should be coded, and in any case the enumeration often has more than two values. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(none) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not provided as a subtype of Data Item </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A special use of the Numeric class is defined to represent the Boolean data type, limiting the permitted values to zero or one. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<A href="#LinkTarget_22419">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean (BL) type. HL7 also allows NULL values. See section 12.2.5 on page 83. </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:293px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:246px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:293px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:246px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean value of this item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Basic Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19045" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_STATE Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_STATE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For representing state values which obey a defined state machine, such as a variable representing the states of an instruction or care process. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is expressed as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> but its values are driven by archetype-defined state machines. This provides a powerful way of capturing stateful complex processes in simple data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(none) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Component Annotation Life Cycle was intended to permit architectural components to include a reference to this aspect of state. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Element class includes an attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LifeCycle</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to indicate the lifecycle of an instruction or action, with permitted values taken from the ENV13606-2 Domain Termlist Component Annotation of the same name. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:300px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:300px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The state name. State names are determined by a state/event table defined in archetypes, and coded using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology or local archetype terms, as specified by the archetype. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_terminal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:300px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether this state is a terminal state, such as “aborted”, “completed” etc from which no further transitions are possible. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_terminal_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_terminal /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19083" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_IDENTIFIER Class </SPAN
+></P>
+<TABLE style="margin-bottom:26px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_IDENTIFIER </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type for representing identifiers of real-world entities. Typical identifiers include drivers licence number, social security number, vertans affairs number, prescription id, order id, and so on. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used to represent any identifier of a real thing, issued by some authority or agency. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD style="width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is not used to express identifiers generated by the infrastructure to refer to information items; the types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and subtypes are defined for this purpose. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Basic Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:433px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_IDENTIFIER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(none) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR had a type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PHYSICAL_DATA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for the purpose of recording locations of items, such as specimen bottles. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:300px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>issuer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:300px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Authority which issues the kind of id used in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> field of this object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>assigner</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:300px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Organisation that assigned the id to the item being identified. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:300px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The identifier value. Often structured, according to the definition of the issuing authority’s rules. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:300px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The identifier type, such as “prescription”, or “SSN”. One day a controlled vocabulary might be possible for this. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>issuer_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: issuer /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> issuer.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>assigner_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: assigner /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> assigner.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> id.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_empty </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_19160">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Text Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19162">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package contains classes for representing all textual values in the health </SPAN
+><A href="#LinkTarget_19183">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>record, including plain text, coded terms, and narrative text. It is illustrated in FIGURE 4. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:138px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:404px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>coded by <SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; text-decoration:overline"
+>o</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal"
+>pen</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal"
+>EHR</SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>coded by <SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; text-decoration:overline"
+>o</SPAN
+>pe<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; text-decoration:overline"
+>n</SPAN
+>EHR</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:119px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:404px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>codeset “</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF7100"
+>languages</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>”</SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>codeset “</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF7100"
+>character sets</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>” </SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>tex</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>t </SPAN
+></H4>
+<P style="margin-bottom:-8px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_PARAGRAPH</SPAN
+></P>
+<IMG width=1 height=41 style="display:block; float:none; margin-bottom:0px" src="images/data_types_im_img_4.png">
+<IMG width=493 height=189 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/data_types_im_img_5.png">
+<P style="text-align:justify; margin-bottom:0px; margin-right:43px; margin-left:490px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>coded by </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>EHR Terminology, group </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:490px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>“</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF7100"
+>term mapping purpose</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF7100"
+>”</SPAN
+></P>
+<P style="margin-bottom:15px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_types.text Package </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19187" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The sections below describe the requirements of text data types. Two overriding principles should be noted at the outset with regard to text. </SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Regardless of what terminologies are (or are not) available to the clinician and/or the software, the primary requirement is that in all cases clinicians are able to record exactly what they want to say. This means that if they want to record something very general, such as “cold” or a very specific term such as “Ross River virus infection” they should be able to, whether or not the appropriate coded terms are available. However, the facility should be available to additionally code any such textual item, at the time or indeed at some later time, so as to satisfy reporting or other needs. </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is assumed that any client of terminology, such as the EHR, uses a terminology service which provides a complete interface to the terminology. The design of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type reflects this. Accordingly, there is no concept of “post-coordination” outside the terminology environment allowed by the data types described here: the only thing that is available from the terminology service is a key which refers to a lexical entity, which may be a single term or a code phrase, and which may be part of a reference terminology and/or linked to element(s) of underlying ontologies. It is also assumed that there is no direct access to any particular terminology; access to all terminologies (whether simple coded lexicons or large semantic networks) is via the same abstract interface. </SPAN
+></LI>
+</ol>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminology Ids are likely to be of various types. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminology_Id = “local”: this constant value means that the origin of allowable values is described within the archetype. This is coded to allow translation. The local archetype then only needs the set of codes and the local translation. The archetype may contain a translation table if required. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminology_Id = “[authority]”. This might be “openehr”, “centc251”, “hl7”, etc; </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The variant Terminology_Id = “[authority]:[Domain value set]” could also be supported, although it should not generally be necessary, since all codes should be unique within a given issuing authority. Examples might be “openehr:event math function”, “hl7:gender”; </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-bottom:11px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminology_Id = “SNOMED-CT”, “ICD10AM”, etc. Idemtifiers of this kind must be unique values in an accepted set of terminologies from an authoritative source. These MUST be universally known. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, names from the US Natoinal Library of Medicine’s UMLS terminology name list are used. See Support IM, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>terminology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package for details. </SPAN
+></LI>
+</ol>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19228" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Narrative Text </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Narrative text items are used in the EHR in a number of cases, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>values of coded attributes in the reference model; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recording of subjective or imprecise patient responses, particularly quantities or dates not deemed sufficiently precise to be represented using structured quantitative or date/time date types; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recording of narrative statements, e.g. visual observations; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recording of tracts of prose, e.g. overall findings and conclusions, prognoses; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recording of values that would normally be coded, but for which no code and/or no terminology service is available. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>While narrative text items themselves are not themselves coded, they may have code phrases associ</SPAN
+><A href="#LinkTarget_19408">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ated with them, as described below under Mappings, and may be mixed within a paragraph with </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>coded items. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19254" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Terminological Entities </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Textual entities available in a terminology service are used in the health record to enable processing, from simple queries to decision support. Reasons for using terminology include the following. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To guarantee interoperability of meaning. For instance, if the term “cold” is recorded in plain text, it could be interpreted as “feeling cold”, “C.O.L.D” (chronic obstructive lung disease), “rhinorrhoea”, “coryza” or “U.R.T.I. (upper respiriatory tract infection), among others. If, however, it is coded from a terminology such as ICD10 or SNOMED-CT, any party reading the data (including software) knows the intention, since the meaning of the code in the terminology is unambiguous. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To standardise textual renderings of terms and avoid informal shorthand. For example, practitioners wanting to write “systolic blood pressure” write things like “systolic BP”, “systolic bp”, “sys. BP.” and so on; use of coded terms ensures that such abbreviations are either avoided, or associated with an unambiguous meaning. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For unambiguous naming of problems, medications or diagnoses for support of knowledge-based tools such as prescribing packages and other decision support applications. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For standardised names of things in the record e.g. a heading of “Physical examination” or an entry such as “Differential diagnosis”. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For finite sets of values (‘value sets’), e.g. Blood Group = ‘A|B|AB|O’. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:65px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For classifying other data for the purpose of statistical studies, e.g. by putting ICD disease group classifiers on actual disease names entered in health records. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A basic requirement for interoperability of text items, coded using terms (i.e. where the text is the official rubric for the code), is that both the rubric and the code (or ‘code-phrase’) must be recorded, to ensure the originally intended text is retained for receivers of EHR information who do not have access to the terminologies used at the origin. However, where a terminology service </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> available, the key can be used to unambiguously locate the string value of the term, and can also be used to find translations in other languages. (Note that these comments do not apply to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mappings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which are described below). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In some terminologies, there are semantic networks of links emanating from most coded terms, which classify them or relate them to other terms. Such links provide a means for decision support to make inferences about specific things found in the record. For instance if the term “leukaemia” is found, queries to the terminology service can be made in order to deduce that the patient has both a “cancer” and a “disease of the immune system” (assuming leukaemia is classified under these more general terms in the terminology). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This specification assumes the existence of a terminology service which is responsible for interrogating actual terminologies and performing </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>validated coordination</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of terms, i.e. creating combinations deemed valid by the underlying source terminology, potentially without even assigning a new code to the result. All validated coordination is carried out </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>inside</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the terminology service, and any “term” made available by the service is already ‘coordinated’. The difference between ‘pre-coordinated’ and ‘post-coordinated’ terms is that the former have a single code, whereas the latter have a code phrase, or expression that is interpretable by the terminology. For example, the coordination “foot, left” (a shorthand way of writing the relationship “foot has-laterality left”) could be created by the terminology service from the source terms “foot”, “left” and “has-laterality” from a terminology such as SNOMED. Any such coordination must be valid within the source terminology, i.e. correspond to valid relationships defined therein. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>described here captures the association of two things: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the code phrase of a code phrase provided by the terminology service, recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the text rubric of the code phrase, recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute (inherited from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_string </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>records a key, in the form of arguments to some retrieval function in the terminology service interface. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The semantics attached to coordinations of terms may differ. Two categories of coordination described in the literature are ‘qualification’ and ‘modification’. A common definition of the first is that “qualification narrows meaning” - i.e. creates a new term whose possible real world instances are within the set denoted by the original root term. Modification on the other hand changes the meaning </SPAN
+><A href="#LinkTarget_19346">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>of a root term. Various cases are described below under Meaning Modification. Both coordination </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>types are assumed to be managed by the terminology service. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Coded terms may also be </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mapped</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to terms from other terminologies, which may be intended as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>equiv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>alents</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>classifiers</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or something in between. The section below on </SPAN
+><A href="#LinkTarget_19408">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mappings</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> deals with these. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19314" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All atomic text items are either instances of the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The former allows the expression of text with optional formatting and hyperlinking. The latter additionally connects the text value to a key in the terminology service, with the implication that the key refers to a terminological entity lexically and semantically identical to the text value. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is designed to capture the actual coded term chosen by the user or software at runtime; it is implicitly assumed that this includes whichever synonym (term of equivalent meaning from the same terminology) was chosen, for terminologies supporting synonyms, and any coordination of underlying distinct terms. A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance can only be used if the final textual value chosen by the user is lexically identical to the rubric returned by the terminology service for the key; if the user makes even the slightest change, the identity of rubric / key is lost, and a mapping (see </SPAN
+><A href="#LinkTarget_19408">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mappings on page 28</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) should be used instead. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> should be used wherever a coded or non-coded text item is allowed, while the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> should be used wherever a text item must be coded. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARAGRAPH</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> allows larger tracts of text to be built up from lists of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances, </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, as illustrated in </SPAN
+><A href="#LinkTarget_19341">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5. </SPAN
+></A>
+</P>
+<IMG width=639 height=84 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/data_types_im_img_6.png">
+<P style="text-align:justify; margin-bottom:-8px; margin-left:361px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>terminology_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> = snomed-ct</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-8px; margin-left:228px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:387px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>code_string</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> = nnnnnnn </SPAN
+></P>
+<P style="margin-bottom:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>A DV_PARAGRAPH </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19343" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Qualification </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Qualification is the process of making a term more specific through the post-coordination of additional terms. It occurs when a terminology defines relationships between a primary term and other terms that qualify the primary. For example a coordination using the term “bronchitis” which creates a qualified term might be “acute bronchitis”; all real world instances of the latter are also instances of the former. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19346" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Meaning Modification </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terms that change the meaning of other terms are often known as “modifiers”. The difference between modification and qualification is that modifiers change the meaning so that the modifed term as a whole does </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> refer to instances of the unmodified term. We describe below the particular types of modifiers and how they are represented using the text data types. </SPAN
+></P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19349" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Mode-changing Terms </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One class of modifers is exemplified by the addition of words like “risk of”, “fear of”, “history of” and so on. These are sometimes called </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mode-changing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> terms, since they change the “mode” of the root term from the present to the past (“history of”), a potential future (“risk of”) or some other alternate reality. Terms which are modified in this way should never be matched in queries searching for the root term; for example, a query for “coronary diease” (of the patient) should not match “family history of coronary disease”. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19352" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Context Sensitivity </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are many terms whose meaning is changed by the context in which they are stated, such as within a certain kind of note or test result. Consider the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:46px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a blood sugar level after a 75gm oral loading has a different meaning than a fasting blood sugar; </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a systolic blood pressure in the pulmonary artery has a different meaning than a systemic arterial blood pressure; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“total hip replacement” in the context of a “planned procedure&quot;; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“meningitis” in the context of a “differential diagnosis”. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19383" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Negation </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Negation is a special kind of mode change and has been a serious design challenge in the past, because modifiers like “not” or “no” only make sense when attached to some terms, and create nonsensical values or ambiguities by arbitrarily association with other terms. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19386" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Representation of Meaning-Modifying Terms </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Rather than provide explicit features for representing modifier terms within </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, the general principle underlying representation of all post-coordinations other than qualifications, is that a higher-level, archetyped structure such as an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(defined in the EHR RM), is a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>minimal indivis</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ible unit of information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Such higher-level entities can have internal structure, and it is possible (and desirable) to achieve the effect of combinations of terms through this structure. In the case of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, it will be via structuring of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CLUSTER/ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects. The general rule is: to obtain the full meaning of any terms found in the record, all of the node names in any </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (coded or not) must be considered from the root to the relevant leaf. Conversely, the “final” meaning of any term in the record cannot be known in isolation from the rest of the terms in the structure. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Accordingly, the concept “family history of coronary disease” is represented as an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose root is named (for example) “subject family history”, and which includes further structure, which may be in greater of lesser detail; the coded term “coronary disease” would appear somewhere in this structure. The actual structure is completely defined by appropriate archetypes. Contrary to some perceptions, there is no general way to represent concepts such as “family history of coronary disease”, since it will vary depending on how much detail is recorded. Where some GPs routinely record just the simplest form, others may record the details of which family members had heart problems and exactly what they were. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The same approach is used for context-dependent terms. Archetypes defining contexts such as “planned procedures” or “differential diagnosis” will use these terms as their root nodes; as a result, the meaning of any term appearing below the root can only be understood by including the root. Once again, the exact structures are completely dependent upon archetyping, and may be simple or quite sophisticated. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Negations are more complex than might first be apparent and are best handled by good archetype design. Terminologies might provide a term such as “No known allergies” which is helpful. But if someone has an allergy of some sort, the medicolegal requirement might be to record that the person has no known allergies to penicillin or another class of medication that is being prescribed. The often-proposed approach of using a generic negation ‘modifier’ to deal with such issues results in further problems. Consider the use of negation with liver - “no liver”, “no palpable liver”, “no liver disease”, “no history of liver disease”, “no liver function”, “no liver function tests”. The meaning of negated terms may be non-sensical and difficult to interpret. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A basic principle of dealing with negatives is to realise that most naïve suggested use cases are quite ambiguous as stated. Does “no allergies” mean “no reported episode of allergy”, “no allergic reactions ever”, “no known allergies to medication” or something else? Does it mean that these statements are taken as given by the patient, or determined by tests? Like all medical phenomena, allergies must be described in some detail for the EHR to be of any real use. Almost inevitably, this precludes the use of negated terms. Since the actual information structure will be determined in advance by arche</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type designers, clinicians will almost never be in the situation of having to negate a term. However, if the need does arise, it should be dealt with by a negative or quantitative </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>answer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. a value rather than a name. For example, in any </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> describing current problems, the clinician may record the name/value pair “allergies: NONE”. Here, “allergies” will be a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and “NONE” will be either a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the two will be associated by a containing object, such as an instance of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class from the EHR RM. There is no explicit model of negation in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19408" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Mappings </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In a number of circumstances, both plain text and coded text items are mapped to terms from other terminologies. In theory, this should never occur, since it means that relationships between terms which should only be knowable in the knowledge base (in the form of the terminology service, or something else) are being created and transmitted as part of EHR information, potentially invalidating or overriding the knowledge base. Where mappings are required, the proper approach is to create thesauri within the knowledge environment, and map through them. Unfortunately, in some cases, activities in the real world do not respect the information/knowledge boundary, hence the model described here includes an explicit </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mapping</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> concept, which itself includes a “purpose” and a “match” indicator. Matching corresponds to the categories described below. </SPAN
+></P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19411" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Classification (Broader Terms) </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any text item, whether coded or not, may be </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>classified</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with a coded term, for research, reporting and decision support purposes. For example, a GP working in tropical Australia may wish to write “Ross River infection”, and be working with ICD9, which does not contain this term (although ICD9-CM does). He or she will use a plain text item, but will still be able to map it to an ICD9 classifier, such as the code for “arbovirus infection NOS”. The same approach can be used for adding a classifying term to a coded text item. The utility of classifier terms is various: they allow decision support to make more powerful inferences; in situations where the available terminologies do not provide the classification inbuilt, and where it is known that not all users of EHR data will have terminologies available. </SPAN
+><A href="#LinkTarget_19428">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In data terms, classification mapping can be visualised as illustrated in FIGURE 6. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:6px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>visible text (“what the clinician said”)</SPAN
+></P>
+<IMG width=609 height=259 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/data_types_im_img_7.png">
+<TABLE style="text-align:right; margin-bottom:22px">
+<TR>
+<TD style="vertical-align:top; width:137px; height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>terminology_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+> = </SPAN
+></TD>
+<TD style="vertical-align:top; width:64px; height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>icd9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:80px; height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>CODE_ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:137px; height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>code_string</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+> = 480 </SPAN
+></TD>
+<TD style="vertical-align:top; width:64px; height:20px"/>
+<TD style="text-align:center; vertical-align:top; width:80px; height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>PHRASE </SPAN
+></TD>
+</TR>
+<TR>
+<TD colspan=2 style="vertical-align:bottom; width:201px; height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>(</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>rubric</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+> = viral pneumonia) </SPAN
+></TD>
+<TD style="vertical-align:top; width:80px; height:17px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Plain Text and Coded Text with Classifier(s)</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Classifying mappings are represented by adding a term to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mappings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list of the original term. Each mapping is explicitly represented with an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which indicates both the term being associated with the original text item, and a value of ‘&gt;’ for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which indicates that the mapping is “broader”. The possible values of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute are ‘&gt;’ (broader), ‘&lt;‘ (narrower), and ‘=’ (equivalent); they are taken from the ISO standards 2788 (“Guide to Establishment and development of monolingual thesauri”) and 5964 (“Guide to Establishment and development of multilingual thesauri”). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19443" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Equivalent / Synonymous Terms </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data from pathology laboratories has often been coded using a terminology local to the laboratory, due to lack of or economic unfeasibility of using existing widespread terminologies for the job. However, some laboratories also supply a nearest </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>equivalent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> code from a well-known terminology such as LOINC, to enable the receiver of the data to process it in a more standard fashion. Here, “equivalence” is taken to mean a term of the same meaning but from a different vocabulary. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another instance where equivalent terms might be supplied is to effect the translation of terms across specialist vocabularies such as nursing vocabularies when sharing EHRs across jurisdictions. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In theory, the cleanest way for senders and receivers of data coded with both a local and a more standard equivalent to deal with the mapping problem is for the originator of the local terminology to provide a complete thesaurus of translations into one or more recognised terminologies. However, in practice, laboratories using the HL7 v2.x messaging standard usually encode a primary term and equivalents with the HL7 CE data type, meaning that equivalents are included only with the term they are used with. A similar pragmatic approach to mapping equivalent terms in the EHR is likely to be used with the data types described here, and can be effected with the same mapping approach as for classification. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A further situation in which text values - this time plain text - is mapped to equivalent terms is when natural language processing is used to generate coded terms for existing free-text prose. The aim of such processing is to detect word phrases and associate them with a coded term of the same meaning, without obliterating the original text. In this case, an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is associated with an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mappings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In all cases with equivalents, the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is ‘=’, indicating that the mapping is a synonym. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19450" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>More Specific Mappings (Narrower Terms) </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Occasionally, there is a need to create a mapping to a term of narrower meaning than the original text item. Circumstances in which this occurs include when a clinician wants to record a syndrome such as “croup” or “influenza”, but the terminology does not contain these general terms, although it does contain more specific terms, e.g. “viral laryngo-tracheitis” or “influenza type A”. Clearly the clinician should be allowed to record what he/she wants (as plain text if necessary), but it should also be possible to add a mapping to the more precise term. For mappings to narrower terms, the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is ‘&lt;’. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19453" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.5.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>The Unified Medical Language System (UMLS) </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:34px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It has been argued in GEHR </SPAN
+><A href="#LinkTarget_22675">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[14] that UMLS reference terms should also be supplied with occur</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rences of coded terms, in the form of the UMLS concept unique identifier, or “CUI”. UMLS is a way of encoding terms developed at the National Library of Medicine in the United States, and consists of a meta-thesaurus, in which terms from any extant term set (such as ICD, SNOMED, READ) can be cross-referenced. UMLS CUIs could turn out to be extremely useful for decision support and reporting. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The proper use of UMLS is that terms from particular terminologies are passed to a UMLS interface and a CUI + rubric received in response. However, the mapping approach described above could also be used to map UMLS CUIs to existing text or terms in an EHR; in this case, a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is constructed for each UMLS “term”, where the code is the CUI and the rubric is the text rendering of the CUI (guaranteed unique in UMLS). The same approach can be used for any other thesaurus which becomes available in the future. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19472" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.1.5.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Legacy Mapping Scenarios </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In cases where legacy data has to be converted to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR-compliant data, and only codes are available, e.g. ICD or ICPC codes, the following approach is recommended: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>create a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose value is “(not available)” </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:22px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>add a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mapping</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, with: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = “legacy conversion” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = “=” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are set to </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>correspond to the available code in the legacy data. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This expresses the reality that no text was ever recorded in the legacy system; rather a code was recorded directly in the data field. In the converted data, this code is more correctly considered a mapping. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19485" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.1.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Language Translations </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In most cases the natural language of a text object is known from the enclosing Entry (i.e. Observation) or other enclosing context. Where it is different (e.g. a german sentence within an English language diagnosis), or there is no enclosing context, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute can be set to indicate the language of the text item. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19488" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_19489" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_TEXT Class </SPAN
+></P>
+<TABLE style="margin-bottom:22px">
+<CAPTION  style="margin-bottom:22px">
+<P style="margin-bottom:22px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:92px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:92px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A text item, which may contain any amount of legal characters arranged as e.g. words, sentences etc (i.e. one </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> may be more than one word). Visual formatting and hyperlinks may be included. A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can be “coded” by adding mappings to it. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Fragments of text, whether coded or not are used on their own as values, or to make up larger tracts of text which may be marked up in some way, eventually going to make up paragraphs. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 2.6, 2.9 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Text data value class can contain either plain text or a term taken from a terminology system (coding scheme). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Roughly equivalent to CWE (coded with extensions) - i.e. a text value which may optionally be coded. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:47px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TEXT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:170px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:365px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Displayable rendition of the item, regardless of its underlying structure. For </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, this is the rubric of the complete term as provided by the terminology service. No carriage returns, line feeds, or other non-printing characters permitted. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>mappings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;TERM_MAPPING&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terms from other terminologies most closely matching this term, typically used where the originator (e.g. pathology lab) of information uses a local terminology but also supplies one or more equivalents from well-known terminologies (e.g. LOINC). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>formatting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A format string of the form </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“name:value; name:value...”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&quot;font-weight : bold; font-family : Arial; font-size : 12pt;&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Values taken from W3C CSS2 properties lists “background” and “font”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hyperlink</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI </SPAN
+></TD>
+<TD style="width:365px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional link sitting behind a section of plain text or coded term item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional indicator of the localised language in which the value is written. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “languages”. Only used when either the text object is in a different language from the enclosing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or else the text object is being used outside of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or other enclosing structure which indicates the language. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:170px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>encoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of character encoding scheme in which this value is encoded. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “character sets”. Unicode is the default assumption in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, with UTF-8 being the assumed encoding. This attribute allows for variations from these assumptions. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:158px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:158px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(value.has(CR) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.has(LF)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Encoding_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: encoding /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_character_sets).has_code(encoding) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Mappings_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: mappings /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> mappings.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Formatting_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: formatting /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> formatting.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19573" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TERM_MAPPING Class </SPAN
+></P>
+<TABLE style="margin-bottom:76px">
+<CAPTION  style="margin-bottom:76px">
+<P style="margin-bottom:76px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERM_MAPPING </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents a coded term mapped to a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and the relative match of the target term with respect to the mapped item. Plain or coded text items may appear in the EHR for which one or mappings in alternative terminologies are required. Mappings are only used to enable computer processing, so they can only be instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for adding classification terms (e.g. adding ICD classifiers to SNOMED descriptive terms), or mapping into equivalents in other terminologies (e.g. across nursing vocabularies). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 4.5 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:243px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:292px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The target term of the mapping. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:367px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:367px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>match</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Character </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:367px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The relative match of the target term with respect to the mapped text item. Result meanings: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘&gt;’: the mapping is to a broader term e.g. orginal text = “arbovirus infection”, target = “viral infection” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘=’: the mapping is to a (supposedly) equivalent to the original item </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘&lt;’: the mapping is to a narrower term. e.g. original text = “diabetes”, mapping = “diabetes mellitus”. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘?’: the kind of mapping is unknown. The first three values are taken from the ISO standards 2788 (“Guide to Establishment and development of monolingual thesauri”) and 5964 (“Guide to Establishment and development of multilingual thesauri”). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:292px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Purpose of the mapping e.g. “automated data mining”, “billing”, “interoperability” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:243px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:292px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:243px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>narrower</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match = ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The mapping is to a narrower term. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERM_MAPPING </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>equivalent</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match = ‘=’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The mapping is to an equivalent term. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>broader</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match = ‘&gt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The mapping is to a broader term. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>unknown</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>match = ‘?’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The kind of mapping is unknown. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_valid_match_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(c: Character)</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure Result</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> := c = ‘&gt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> c = ‘=’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> c = ‘&lt;’ or c = ‘?’ </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if match valid. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:120px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:120px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Target_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: target /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Purpose_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: purpose /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr). has_code_for_group_id(Group_id_term_mapping_purpose, pur-pose.defining_code) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Match_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_valid_match_code(match) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19647" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CODE_PHRASE Class </SPAN
+></P>
+<TABLE style="margin-bottom:52px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CODE_PHRASE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A fully coordinated (i.e. all “coordination” has been performed) term from a terminology service (as distinct from a particular terminology). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 4.2 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>terminology_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID </SPAN
+></TD>
+<TD style="width:322px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of the distinct terminology from which the code_string (or its elements) was extracted. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>code_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The key used by the terminology service to identify a concept or coordination of concepts. This string is most likely parsable inside the terminology service, but nothing can be assumed about its syntax outside that context. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Terminology_id_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: terminology_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_string_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: code_string /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> code_string.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19687" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_CODED_TEXT Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A text item whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> must be the rubric from a controlled terminology, the key (i.e. the ‘code’) of which is the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. In other words: a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a combination of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (effectively a code) and the rubric of that term, from a terminology service, in the language in which the data was authored. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Since </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, it can be used in place of it, effectively allowing the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to mean “a text item, which may optionally be coded”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If the intention is to represent a term code attached in some way to a fragment of plain text, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> should not be used; instead use a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 4.1, 4.2, 4.3 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Text </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::CodedElement, LooselyCodedElement. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Text </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_TERM_TEXT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ConceptDescriptor (CD), CodedValue (CV) and CodedSimple (CS) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:239px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:297px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:239px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>:CODE_PHRASE </SPAN
+></TD>
+<TD style="width:297px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The term which the ‘value’ attribute is the textual rendition (i.e. rubric) of. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Definition_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: defining_code /= </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19733" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_PARAGRAPH Class </SPAN
+></P>
+<TABLE style="margin-bottom:31px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PARAGRAPH </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A logical composite text value consisting of a series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. plain text (optionally coded) potentially with simple formatting, to form a larger tract of prose, which may be interpreted for display purposes as a paragraph. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARAGRAPH</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the standard way for constructing longer text items in summaries, reports and so on. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 2.6 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Text Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:8px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PARAGRAPH </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_PARAGRAPH </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:254px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:282px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:254px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;DV_TEXT&gt; </SPAN
+></TD>
+<TD style="width:282px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Items making up the paragraph, each of which is a text item (which may have its own formatting, and/or have hyperlinks). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:15px">
+<A href="#LinkTarget_19784">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the visual appearance of a typical </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARAGRAPH</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:92px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>xxxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#007E00"
+>xxxx xxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>xxxxxxx xx xx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xxxxxxx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> xxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>xxxxxxxxx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> xxxx </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>xxxxxxxxxxxx </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF; text-decoration:underline"
+>xxxx</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> xxx xxxxxx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> xxxxxxxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#007E00"
+>xxxxxx xxxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>xxxxx xxxx xxxxxx a xxxxxxx xxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>xxxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#007E00"
+>xxxxx xxxxxxx </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>xxxxxx x xxx </SPAN
+></P>
+<P style="margin-bottom:555px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>PARAGRAPH visual structure </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Text Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_19810">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Quantity Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19812">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.quantity</SPAN
+><A href="#LinkTarget_19826">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is illustrated in FIGURE 8. Dates and Times are found in the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>next section. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-16px; margin-left:227px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>Ordere</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>d </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:73px; margin-left:194px; text-indent:309px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>INTERVAL&lt;T</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>> </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.support.assumed</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:370px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:486px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.support.assumed)</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:351px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=621 height=612 style="display:block; float:none; text-align:center; margin-bottom:8px" src="images/data_types_im_img_8.png">
+<P style="margin-bottom:123px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_types.quantity Package </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19842" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Ordinal Values </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medicine is one domain in which symbols representing relative magnitudes are commonly used, without exact values being known. The main purpose is usually to classify patients into groups for which different decisions might be made. Thus, while approximate ranges (technically speaking “fuzzy intervals”) might be stated (such as for a urinalysis), concrete values are not of interest, only categories are. Take for example the characterisation of pain as being “mild”, “medium”, “severe”, or the reflex response to tendon percussion as “-”, “+/-”, “+”, “++”, ”+++”, “++++”. There may be no way to scientifically precisely quantify such values because they reflect a subjective experience of the patient or informal judgement by clinician. However, they are understood as being ordered, e.g. “++” is ‘greater than’ “+”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Similarly, even though the symbolic values for haemolysed blood in a urinalysis have approximate ranges stated for them, as shown below, these ‘values’ are not usable in the same way as true quantities. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“neg”, “trace” (10 cells/</SPAN
+><SPAN style="font-size:10.9pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>l) </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“small” (&lt;25 cells/</SPAN
+><SPAN style="font-size:10.9pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>l) </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“moderate” (&lt;80 cells/</SPAN
+><SPAN style="font-size:10.9pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>l) </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“large” (&gt;200 cells/</SPAN
+><SPAN style="font-size:10.9pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>l) </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A second requirement for ordinal values is that in many cases there is a need to associate integer values with the symbols, in order to facilitate ordered comparison, and also to enable longitudinal comparison across results of the same kind (e.g. pain, protein). Integer values may be negative, 0 and positive, typically to allow the 0 value to correspond to a neutral value in a range. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[Note: an argument sometimes put forward for recording all ordinals in a more precise way is that comparisons might want to be made between the values quoted by two laboratories for the same symbol (e.g. “moderate”). There are a number of counter-arguments. Firstly, such comparisons are a poor attempt at normalisation, an activity which is the business of pathologists, not EHR users. Secondly, the symbolic values are often arrived at by the tester making a judgement of colour on a strip, which while an adequate (and cost-effective) approach for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>classifying</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, is not a valid means of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>quantifying</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> a value. Lastly, in most cases, if a quantified point value or range is desired, or available, then it will be used - meaning that the appropriate quantitative data type can be used, rather than an the ordinal type.] </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Countable Things </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An common kind of data value in medicine is the dimensionless countable quantity, e.g. “number of doses: 2”, “number of previous pregnancies: 1”, “number of tablets: 3”. Values of this type are always integral. Countable values need to be convertible to real numbers for statistical purposes, for example for a study of average number of pregnancies per couple. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Some countable entities such as tablets are divisible into major fractions, typically halves and occasionally quarters. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Dimensioned Quantities </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The most common kind of quantity is a measured, dimensioned quantity. Anything which is measurable (rather than countable) involves a number of data aspects, namely: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a magnitude whose value is a real number; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:46px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the physical property being measured, with the appropriate units; </SPAN
+></LI>
+</ul>
+<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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a concept of precision, i.e. to what number of decimal places the value is recorded; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a concept of accuracy, i.e. the known or assumed error in the measurement due to instrumentation or human judgement. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples of dimensioned quantities include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>systolic BP: 110 mmHg </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>height: 178 cm </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rate of asthma attacks: 7 /week </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>weight loss: 2.5 kg </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Ratios and Proportions </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A common quantitative type in science and medicine is the proportion, or ratio, which is used in situations like the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1:128 (a titer); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Na:K concentration ratio (unitary denominator); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>albumin:creatinine ratio; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>% e.g. red cell distribution width (RDW) which is the width of a distribution of RBC widths. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In general ratios have real number values, even if many examples appear to be integer ratios. Proportions with unitary denominator and % (denominator = 100) are common. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Formulations </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A concept superficially similar to proportions and ratios is formulations of materials, such as a solid in a liquid e.g.: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>250 mg / 500 ml (solute/solvent) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Although a single solute/single solvent formulation appears to have the same form as a ratio, the general form is for any number of substances to be mixed together, usually according to a particular procedure. Formulations are therefore not candidates for direct modelling as fine-grained quantities, but instead are constructed by archetyping a higher-level structure, each leaf element of which contains the required kind of Quantity. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Quantity Ranges </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantity ranges are ubiquitous in science and medicine, and may be defined for any kind of measured phenomenon. Examples include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>healthy weight range, e.g. 48kg - 60kg </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal range for urinalysis in pregnancy - protein, e.g. “nil” - “trace” </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Reference Ranges </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A reference range is a quantity range attached to a measured value, and is common for laboratory result values. The typical form of a reference range found in a pathology result indicates what is considered the ‘normal’ range for a measured value. Examples of reference ranges: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal range for serum Na is 135 - 145 mmol/L. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>desirable total cholesterol: &lt; 5.5 mmol/L (strictly this probably should be 2.0 - 5.5 mmol/L, but is not usually quoted this way as low cholesterol is not considered a problem.) </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ranges can also be quoted for drug administrations, in which case they are usually thought of as the ‘therapeutic’ range. For example, the anticonvulsant drug Carbamazepine has a therapeutic range of </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>20 - 40 </SPAN
+><SPAN style="font-size:12pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mol/L. In some cases, there are multiple ranges associated with a drug, for example, Salicylate has a therapeutic range of 1.0 - 2.5 mmol/L and a toxic range &gt; 3.6 mmol/L </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Various examples occur in which multiple ranges may be stated, including the following. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The administration recomendations for drugs which depend on the particular patient state. For example, the therapeutic range of Cyclosporin (an immunosuppresant) is a function of time post-transplant for the affected organ, e.g. kidney: &lt; 6 months: 250 - 350 </SPAN
+><SPAN style="font-size:12pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>g/L, &gt; 6 months: 100 - 200 </SPAN
+><SPAN style="font-size:12pt; font-weight:normal; color:#000000"
+>µ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>g/L. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Normal ranges for blood IgG, IgA, IgM which vary significantly with the age in months from birth. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Progesterone and pituitary hormones have ranges which are different for different phases of the menstrual cycle and for menopause. This may result in 4 or 5 ranges given for one result. Only one will apply to any particular patient - but the exact phase of the cycle may be unknown - so the ranges may need to be associated with the value with no 'normal' range. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where there are multiple ranges, the important question is: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>which range information is relevant to the actual data being recorded for the patient</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>? In theory, only the range corresponding to the particular patient situation should be used, i.e. the range which applies after taking into account sex, age, smoking status, “professional athlete”, organ transplanted, etc. In most cases, this is a single “normal” range, or a pair of ranges, typically “therapeutic” and “critical”. However, practical factors complicate things. Firstly, data is sometimes supplied from pathology labs along with some or all of the applicable reference ranges, even though only some could possibly apply. This is particularly the case if the laboratory has no other data on the patient, and cannot evaluate which range applies. The requirement for faithfulness of recording might be extended to reference data supplied by laboratories, regardless of how irrelevant or arbitrarily chosen the reference data is, meaning that such data has to be stored in the record anyway. Secondly, there may be circumstances in which physicians want a number of reference ranges, even while knowing that only one range is applicable to the datum. Ranges above and below the relevant one might be useful to a physician wishing to determine how far out of range the datum is. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Normal Range and Status in Laboratory data </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is quite common for laboratories to include a normal range with each measured value, and/or a normal ‘status’, which indicates where the value lies with respect to the normal range. The latter will commonly take the form of markers like “HHH” (critically high), HH (abnormally high), H (borderline high), L, LL, LLL in HL7v2 messaging, although other schemes are undoubtedly used. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20000" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Basic Semantics </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:65px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In order to make sense of the requirements in a systematic way, a proper typology for quantities is needed. The most basic characteristic of all values typically called ‘quantities’ is that they are ordered, meaning that the operator “&lt;” (less-than) is defined between any two values in the domain. An ancestor class for all quantities called </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is accordingly defined. This type is subtyped into ordinals and true quantities, represented by the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>respectively. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> represents data values whose exact numeric values are not known, and which use symbolic renderings instead, such as “+”, “++”, “+++”, or “mild”, “medium”, “severe”. Each symbol can be assigned any integer value, providing a basis for computable comparison. In contrast, instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and all its subtypes have precise numeric magnitudes. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 40 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> itself introduces the concepts of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute is guaranteed to be available on any </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, carrying the effective value, regardless of the particular subtype. The optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute can be used to provide a non-quantified indication of accuracy, and takes the following values: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“=” : </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a point value </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&lt;“ : value is &lt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&gt;” : value is &gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&lt;=” : value is &lt;= </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&gt;=” : value is &gt;= </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“~” : value is approximately </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If not present, meaning is “=”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logically, an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute should also be included in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, but as its modelling is different in the subtypes in a way that does not easily lend itself to a common ancestor, it is only included in the subtypes. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class has two subtypes: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The former corresponds to relative ‘amounts’ of something, either a physical property(such as mass) or items (e.g. cigarettes). Mathematically, the ‘+’ and ‘-’ operators (as well as ‘*’ and ‘/’) are defined in the same way as for the real numbers (or any other mathematical ‘field’), with the semantics that adding two relative quantities measuring the same thing (i.e. with the same units) produces another relative quantity of the same kind; while the semantics of subtraction are that one relative quantity subtracted from another generates a third. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, models quantities whose values are absolute along a line having a defined origin. The main example of absolute quantities are the temporal concepts date, time and date/time. These are distinguished from relative quantities in that the normal addition and subtraction operations don’t apply. Instead, the semantics of such operators are based on the idea of the difference between absolute values being a relative amount. For example, two dates can be subtracted, but the result is a duration, not another date. For this reason, the operations </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>add</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subtract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are defined rather than ‘+’ or ‘-’. Date/time types, as well as the relative concept duration, are defined in the </SPAN
+><A href="#LinkTarget_20847">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date Time Package on page 55. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PROPORTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_COUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (see </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>date_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package). The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_COUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> has an integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and is used to record naturally countable things such as number of previous pregnancies, number of steps taken by a recovering stroke victim and so on. There are no </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>precision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_COUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Countable quantities can be used to create instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, such as during a statistical study which average tobacco consumption over a time period. Such a computation might cause the creation of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>objects representing values like {</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 5.85, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = ‘/ week’} </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:46px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used to represent amounts of measurable things, and has a real number </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>precision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute contains the scientific unit in a parsable form defined by the Unified Code for Units of Measure (UCUM) </SPAN
+><A href="#LinkTarget_22645">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[8]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. A valid units string always implies a measured property, such as “force” or “pressure”. The property of a Quantity can conveniently constrained in archetypes, e.g. to “pressure”, which would allow any pressure unit. Unit strings can be compared to determine if they measure the same property (e.g. “bar” and “kPa” are both units corresponding to the property “pressure”), which enables the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_strictly_comparable_to</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function defined on </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be properly specified on </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 41 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>important to note</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> that while these semantics will allow comparison of e.g. two pressures recorded in mbar and mmHg, or even two accelerations whose units are “m.s^-2” and “m/s^2”, they provide no guarantee that this is a sensible thing to do in terms of domain semantics: comparing a blood pressure to an atmospheric pressure for example may or may not make any sense. It is not within the scope of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package to express such semantics: this is up to application software which uses Quantities found in specific places in the data. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Accuracy and Uncertainty </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Theoretically it might be argued that ‘accuracy’ should not be included in a model for quantified values, because it is an artifact of a measuring process and/or device, not of a quantity itself. For example, a weight of “82 kg +/-5%” can be represented in two parts. The “82 kg” is represented as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, while the “+/-5%” may be included in the protocol description of the weighing instrument, since this is where the error comes from. For practical purposes however, (in)accuracy in a measured quantity corresponds to a range of possible values. In realistic computing in health, it is quite likely that the accuracy will be required in computations on the quantity, especially for statistical population queries in which measurement error must be disambiguated from true correlation. Accuracy is therefore included as an attribute of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, where it is of type Real (if no accuracy recorded its value is 0), and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, where it is of a differential type defined by subtypes (no accuracy recorded corresponds to a Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The related notion of “uncertainty” is understood as a subjective judgement made by the clinician, indicating that he/she is not certain of a particular statement. It is not the same as accuracy: uncertainty may apply to non-quantified values, such as subjective statements, and it is not an aspect of objective measurement processes, but of human confidence. Where the uncertainty is due to subjective memory e.g. “I think my grandfather was 56 when he died”, the uncertainty is simply recorded as another value, along with the main data item being recorded. Uncertainty is therefore not directly modelled in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types, but appears instead in particular archetypes. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Quantity Ranges </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ranges are modelled by the generic type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;T:DV_ORDERED&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which enables a range of any of the other quantity types (except ratio) to be constructed. This allows any subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to occur as a range as well. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Proportions </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PROPORTION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type is provided for representing true ratios, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>relative</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> values, and consists of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numerator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>denominator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Real values, and a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function which is computed as the result of the numerator/denominator division. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is used to indicate the logical type of the proportion. Supported types include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>percent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: denominator is 100; usual presentation is “numerator %” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>unitary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: denominator is 1; usual presentation is “numerator” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: numerator and denominator are both integer values; usual presentation is n/d, e.g. such as ½ or ¾, 1/2, 3/4 etc; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integer_fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: numerator and denominator are both integer values; usual presentation is n/d; if numerator &gt; denominator, display as “a b/c”, i.e. the integer part followed by the remaining fraction part, e.g. 1½; this is the most likely form for expressing a number of tablets; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:54px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ratio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: numerator and denominator can take any value; usual presentation is “numerator:denominator” </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 42 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lastly, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_integral</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function indicates that the numerator and denominator are both integer values; this is used for fractions (the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integer_fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> types above) and other commonly occurring ratios where both parts are always integer values. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Normal and Reference Ranges </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Normal range for any of the quantity types (i.e. any instance of a subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) can be included via the attribute </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REFERENCE_RANGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Other reference ranges (e.g. subcritical, critical etc) can be included via the attribute </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_reference_ranges</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The separation of normal and other reference range attributes is used because the former constitute the vast majority of ranges quoted for quantitative data. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Normal status can be included via the attribute </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which takes the form of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>symbol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> atttribute is coded according to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology group “normal status”, and takes values “HHH” (critically high), “HH” (abnormally high), “H” (borderline high)”, “N” (normal), “L” ... “LLL”. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Recording Time </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time can be recorded in two ways. Absolute times in the social time domain, such as dates and time of day are recorded using the types in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>date_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. Fine-grained ‘time’, which is a duration rather than a time, is recorded using a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with units = ‘s’ or another temporal unit (‘h’, ‘ms’, ‘ns’ etc). </SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20113" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_20114" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_ORDERED Class </SPAN
+></P>
+<TABLE style="margin-bottom:43px">
+<CAPTION  style="margin-bottom:43px">
+<P style="margin-bottom:43px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ORDERED (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract class defining the concept of ordered values, which includes ordinals as well as true quantities. It defines the functions ‘&lt;’ and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_strictly_comparable_to</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, the latter of which must evaluate to True for instances being compared with the ‘&lt;’ function, or used as limits in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data value types which are to be used as limits in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class must inherit from this class, and implement the function </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_strictly_comparable_to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to ensure that instances compare meaningfully. For example, instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can only be compared if they measure the same kind of physical quantity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE, Ordered </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:260px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:260px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_strictly_comparable_to(other) </SPAN
+></TD>
+<TD style="vertical-align:top; width:276px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Tests if this item is less than other, which must be of the same concrete type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:260px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_strictly_comparable_to</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Test if two instances are strictly comparable. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 43 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:151px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ORDERED (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:260px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:276px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:260px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>normal_range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional normal range. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:260px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_reference_ranges</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;REFERENCE_RANGE&lt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt;&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:276px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional tagged other reference ranges for this value in its particular measurement context </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:260px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>normal_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:276px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional normal status indicator of value with respect to normal range for this value. Often included by lab, even if the normal range itself is not included. Coded by ordinals in series HHH, HH, H, (nothing), L, LL, LLL; see </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology group “normal status”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:260px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:198px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:260px; height:198px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_normal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_range /= Void or normal_status /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_range /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result = normal_range.has(Current) normal_status /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_status.code_string.is_equal(“ N”) </SPAN
+></TD>
+<TD style="vertical-align:top; width:276px; height:198px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Value is in the normal range, determined by comparison of the value to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> if present, or by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> marker if present. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:260px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_simple</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this quantity has no reference ranges. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:176px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:176px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Other_reference_ranges_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other_reference_ranges /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_reference_ranges.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_simple_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (normal_range = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other_reference_ranges = Void) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_simple </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Normal_status_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: normal_status /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_normal_statuses).has_code(normal_status) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Normal_range_and_status_consistency</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (normal_range /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>normal_status /= Void) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (normal_status.code_string.is_equal(“N”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> normal_range.has(Current)) </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 44 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_20200" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_INTERVAL&lt;T : DV_ORDERED&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_INTERVAL&lt;T : DV_ORDERED&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic class defining an interval (i.e. range) of a comparable type. An interval is a contiguous subrange of a comparable base type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:213px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:213px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to define intervals of dates, times, quantities (whose units match) and so on. The type parameter, T, must be a descendant of the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is necessary (but not sufficient) for instances to be compared (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>strictly_comparable </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is also needed). Without the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, quite a few more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> classes would be needed to express logical intervals, namely interval versions of all the date/time classes, and of quantity classes. Further, it allows the semantics of intervals to be stated in one place unequivocally, including the conditions for strict comparison. The basic semantics are derived from the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, described in the support RM. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.13 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time Interval; also includes a measurement range data type but not the ability to specify if minimum or maximum values are inclusive. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>QuantityRange + ability to specify if the range is inclusive or exclusive separately of the maximum and minimum values. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_QUANTITY_RANGE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;T:QTY&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL&lt;T&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD style="width:536px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Limits_consistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (not upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> lower_unbounded) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(lower.is_strictly_comparable_to(upper) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> lower &lt;= upper) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20232" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>REFERENCE_RANGE&lt;T:DV_ORDERED&gt; Class </SPAN
+></P>
+<TABLE style="margin-bottom:63px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>REFERENCE_RANGE&lt;T:DV_ORDERED&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines a named range to be associated with any </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> datum. Each such range is particular to the patient and context, e.g. sex, age, and any other factor which affects ranges. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>May be used to represent normal, therapeutic, dangerous, critical etc ranges. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.13 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:272px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:263px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 45 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>REFERENCE_RANGE&lt;T:DV_ORDERED&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:272px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:263px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Term whose value indicates the meaning of this range, e.g. “normal”, “critical”, “therapeutic” etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:272px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>range</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;T&gt; </SPAN
+></TD>
+<TD style="width:263px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data range for this meaning, e.g. “critical” etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:272px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:263px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:272px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_in_range (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>val</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:263px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates if the value ‘val’ is inside the range </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Meaning_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: meaning /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Range_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: range /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Range_is_simple</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (range.lower_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> range.lower.is_simple) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(range.upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> range.upper.is_simple) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20287" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_ORDINAL Class </SPAN
+></P>
+<TABLE style="margin-bottom:67px">
+<CAPTION  style="margin-bottom:67px">
+<P style="margin-bottom:67px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ORDINAL </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:174px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:174px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Models rankings and scores, e.g. pain, Apgar values, etc, where there is a) implied ordering, b) no implication that the distance between each value is constant, and c) the total number of values is finite. Note that although the term ‘ordinal’ in mathematics means natural numbers only, here any integer is allowed, since negative and zero values are often used by medical professionals for values around a neutral point. Examples of sets of ordinal values: -3, -2, -1, 0, 1, 2, 3 -- reflex response values 0, 1, 2 -- Apgar values </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording any clinical datum which is customarily recorded using symbolic values. Example: the results on a urinalysis strip, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>{neg, trace, +, ++, +++}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are used for leucocytes, protein, nitrites etc; for non-haemolysed blood </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>{neg, trace, moderate}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; for haemolysed blood </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>{neg, trace, small, moderate, large}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.2 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantity (QTY) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:227px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:227px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="width:307px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Value in ordered enumeration of values. Any integer value can be used. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 46 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ORDINAL </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:140px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:227px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>symbol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Coded textual representation of this value in the enumeration, which may be strings made from “+” symbols, or other enumerations of terms such as “mild”, “moderate”, “severe”, or even the same number series as the values, e.g. “1”, “2”, “3”. Codes come from archetype. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:227px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:227px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>limits</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REFERENCE_RANGE &lt;DV_ORDINAL&gt; </SPAN
+></TD>
+<TD style="width:307px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>limits of the ordinal enumeration, to allow comparison of an ordinal value to its limits. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:227px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value &lt; other.value </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if types are the same and values compare </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:227px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_strictly_comparable_to (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>symbol.is_comparable (other.symbol) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if symbols come from same vocabulary, assuming the vocabulary is a subset or value range, e.g. “urine:protein”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Symbol_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: symbol /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Limits_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: limits /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>limits.meaning.is_equal(“limits”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Reference_range_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other_reference_ranges /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_reference_ranges.has(limits) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20355" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_QUANTIFIED Class </SPAN
+></P>
+<TABLE style="margin-bottom:78px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_QUANTIFIED (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract class defining the concept of true quantified values, i.e. values which are not only ordered, but which have a precise magnitude. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::Measurement. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Attributes in the Quantity class for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>unit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (double plus units) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantity (QTY) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 47 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_QUANTIFIED (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:121px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>Ordered_Numeric </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numeric value of the quantity in canonical (i.e. single value) form. Implemented as constant, function or attribute in subtypes as appropriate. The type Ordered_numeric is mapped to the available appropriate type in each implementation technology. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:188px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:234px; height:188px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:188px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional status of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with values: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“=” : </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a point value </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&lt;“ : value is &lt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&gt;” : value is &gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&lt;=” : value is &lt;= </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“&gt;=” : value is &gt;= </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“~” : value is approximately </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If not present, meaning is “=”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:179px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:179px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_magnitude_status </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(s:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = s.is_equal(“=”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s.is_equal(“&lt;”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s.is_equal(“&gt;”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s.is_equal(“&lt;=”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s.is_equal(“&gt;=”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s.is_equal(“~”) </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:179px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Test whether a string value is one of the valid values for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Magnitude_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: magnitude /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Magnitude_status_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: magnitude_status /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_magnitude_status(magnitude_status) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20418" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_AMOUNT Class </SPAN
+></P>
+<TABLE style="margin-bottom:55px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_AMOUNT (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract class defining the concept of relative quantified ‘amounts’. For relative quantities, the ‘+’ and ‘-’ operators are defined (unlike descendants of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, such as the date/time types). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 48 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_AMOUNT (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>prefix ‘-’</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Current </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Negated version of current object, such as used for representing a difference, e.g. a weight loss. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘+’ (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Cur</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>rent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sum of this quantity and another whose formal type must be the difference type of this quantity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘-’ (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current </SPAN
+></TD>
+<TD style="width:305px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of this quantity and another whose formal type must be the difference type of this quantity type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:234px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Accuracy of measurement, expressed either as a half-range percent value (accuracy_is_percent = True) or a half-range quantity. A value of 0 means that accuracy was not recorded. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>accuracy_is_percent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If True, indicates that when this object was created, accuracy was recorded as a percent value; if False, as an absolute quantity value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_percentage </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(val:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result implies val &gt;= 0.0 and val &lt;= 100.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Test whether a number is a valid percentage, i.e. between 0 and 100. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Accuracy_is_percent_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: accuracy = 0 implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> accuracy_is_percent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Accuracy_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: accuracy_is_percent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_percentage(accuracy) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20485" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_QUANTITY Class </SPAN
+></P>
+<TABLE style="margin-bottom:30px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_QUANTITY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:110px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:110px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<A href="#LinkTarget_22645">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantitified type representing “scientific” quantities, i.e. quantities expressed as a magnitude and units. Units were inspired by the Unified Code for Units of Measure (UCUM), developed by Gunther Schadow and Clement J. McDonald of The Regenstrief Institute [8]. </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:537px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Can also be used for time durations, where it is more convenient to treat these as simply a number of seconds rather than days, months, years. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.2 - 3.4 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 49 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_QUANTITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantifiable Data Item; Measurement data value class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::Numeric. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quantity </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_QUANTITY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PhysicalQuantity (PQ) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:324px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+></TD>
+<TD style="vertical-align:top; width:324px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numeric magnitude of the quantity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>units</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:324px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Stringified units, expressed in UCUM unit syntax, e.g. &quot;kg/m2&quot;, “mm[Hg]&quot;, &quot;ms-1&quot;, &quot;km/h&quot;. Implemented accordingly in subtypes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>precision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:324px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Precision to which the value of the quantity is expressed, in terms of number of decimal places. The value 0 implies an integral quantity. The value -1 implies no limit, i.e. any number of decimal places. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:324px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="vertical-align:top; width:214px; height:171px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_integral</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_strictly_comparable_to (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units_equivalent(units, other.units) </SPAN
+></TD>
+<TD rowspan=2 style="vertical-align:top; width:324px; height:171px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if precision = 0; quantity represents an integral number. Test if two instances are strictly comparable by ensuring that the measured property is the same, achieved using the Measurement service function </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units_equivalent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Precision_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: precision &gt;= -1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Units_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: units /= void </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20564" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Units Syntax </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:11px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The BNF syntax specification of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units</SPAN
+><A href="#LinkTarget_22645">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> string, adapted from [8] is as follows: </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4 style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Parse Specification </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:46px; margin-left:144px; text-indent:-105px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>units ::</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>= 	</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>‘/’ exp_unit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>s
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| units ‘.’ exp_unit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>s
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| units ‘/’ exp_unit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>s
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| exp_unit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 50 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>exp_units ::= unit_group exponent | unit_group </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:144px; text-indent:-105px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>unit_group ::= PREFIX annot_uni</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| annot_uni</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>t
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| ‘(’ exp_units ‘)</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| facto</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>r 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:144px; text-indent:-105px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>annot_unit ::= unit_nam</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>e 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| unit_name ‘{’ ANNOTATION ‘}</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| ‘{’ ANNOTATION ‘}</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’ 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>factor ::= Integer </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>exponent ::= SIGN Integer | Integer </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Lexical Specification </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:0px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>PREFIX ::= ‘Y’ |‘Z’ | ‘E’ | ‘P’ | ‘T’ | ‘G’ | ‘M’ | ‘k’ | ‘h’ | ‘da’</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; text-indent:106px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| ‘d’ | ‘c’ | ‘m’ | ‘µ’ | ‘n’ | ‘p’ | ‘f’ | ‘a’ | ‘z’ | ‘y’ UNIT_NAME ::= [a-zA-Z_%]+ ; from unit tables ANNOTATION ::= [a-zA-Z’.]+ ; from unit tables SUFFIX ::= [a-zA-Z0-9’_]+ ; from unit tables </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>SIGN ::= ‘+’ | ‘-</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’ 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Integer ::= [0-9]</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>+
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This proposal is comprehensive, covering all useful unit systems, including SI, various imperial, customary mesaures, and some obscure measures, as well as clinically specific additions. Metric prefixes, meaning-changing textual suffixes (e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“[Hg]”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“mm[Hg]”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and non-meaning-changing annotations (e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“kg {total}”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) are recognised. With this syntax, units can be simply expressed in strings such as: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; text-indent:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>“kg/m^2”, “m.s^-1”, “km/h”, “mm[Hg]”</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and so on. </SPAN
+></P>
+<P ID="LinkTarget_20612" style="text-align:left; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_COUNT Class </SPAN
+></P>
+<TABLE style="margin-bottom:20px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_COUNT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Countable quantities. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for countable types such as pregnancies and steps (taken by a physiotherapy patient), number of cigarettes smoked in a day. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not used for amounts of physical entities (which all have units) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.2 - 3.4 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>INT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:324px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:324px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numeric magnitude of the quantity </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 51 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<IMG width=651 height=73 style="display:block; float:none; text-align:center; margin-bottom:7px" src="images/data_types_im_img_9.png">
+<P ID="LinkTarget_20656" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_PROPORTION Class </SPAN
+></P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PROPORTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Models a ratio of values, i.e. where the numerator and denominator are both pure numbers. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording titers (e.g. 1:128), concentration ratios, e.g. Na:K (unitary denominator), albumin:creatinine ratio, and percentages, e.g. red cell distirbution width (RDW). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:93px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:93px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Should not be used to represent things like blood pressure which are often written using a ‘/’ character, giving the misleading impression that the item is a ratio, when in fact it is a structured value. E.g. visual acuity “6/24” is not a ratio. Should not be used for formulations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.6 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::Ratio. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ratio (RTO). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT, PROPORTION_KIND </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:287px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:250px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>numerator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numerator of ratio </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>denominator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>denominator of ratio </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="width:250px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates semantic type of proportion, including percent, unitary etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:141px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>precision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Precision to which the numerator and denominator values of the proportion are expressed, in terms of number of decimal places. The value 0 implies an integral quantity. The value -1 implies no limit, i.e. any number of decimal places. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:287px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:250px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:287px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_integral</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if the numerator and denominator values are integers, i.e. if the precision is 0. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 52 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PROPORTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:287px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = numerator / denominator </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Effective magnitude represented by ratio. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_strictly_comparable_to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type = other.type </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the same. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:158px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:158px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_proportion_kind(type) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Precision_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: precision = 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_integral </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_integral_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_integral </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (numerator.floor = numerator </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>denominator.floor = denominator) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Fraction_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (type = pk_fraction </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type = pk_integer_fraction) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_integral </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Unitary_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type = pk_unitary </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> denominator = 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Percent_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type = pk_percent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> denominator = 100 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20738" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.11 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PROPORTION_KIND Class </SPAN
+></P>
+<TABLE style="margin-bottom:67px">
+<CAPTION  style="margin-bottom:67px">
+<P style="margin-bottom:67px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PROPORTION_KIND </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Class of enumeration constants defining types of proportion for the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PROPORTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:287px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:250px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>const </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>pk_ratio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer = 0 </SPAN
+></TD>
+<TD style="width:250px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ratio type. Numerator and denominator may be any value </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>const </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>pk_unitary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer = 1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Denominator must be 1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>const </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>pk_percent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer = 2 </SPAN
+></TD>
+<TD style="width:250px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Denominator is 100, numerator is understood as a percentage value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>const </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>pk_fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer = 3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numerator and denominator are integral, and the presentation method uses a slash, e.g. “1/2”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>const </SPAN
+></TD>
+<TD style="vertical-align:top; width:287px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>pk_integer_fraction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer = 4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numerator and denominator are integral, and the presentation method uses a slash, e.g. “1/2”; if the numerator is greater than the denominator, e.g. n=3, d=2, the presentation is “1 1/2”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:287px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:250px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 53 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Quantity Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PROPORTION_KIND </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:287px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_proportion_kind</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (n: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:250px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if n is one of the defined types. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_20798" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_ABSOLUTE_QUANTITY Class </SPAN
+></P>
+<TABLE style="margin-bottom:335px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ABSOLUTE_QUANTITY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract class defining the concept of quantified entities whose values are absolute with respect to an origin. Dates and Times are the main example. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>add</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+> (a_</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addition of a differential amount to this quantity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>subtract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a_diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result of subtracting a differential amount from this quantity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>DV_AMOUNT </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of two quantities. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>accuracy</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> diff </SPAN
+></TD>
+<TD style="width:305px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Accuracy of measurement, expressed as a half-range value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type for this quantity (i.e. an accuracy of x means </SPAN
+><SPAN style="font-size:12pt; font-weight:normal; color:#000000"
+>+/−</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>x). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 54 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_20851">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Date Time Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20853">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.quantity.date_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package includes three absolute date/time concepts: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and a relative concept: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The representations of all of these are ISO8601:2004-compatible date/time strings. They also include the ISO8601 semantics for partial dates and times. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>date_time</SPAN
+><A href="#LinkTarget_20865">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is illustrated in FIGURE 9. </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DV_ABSOLUTE_QUANTIT</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>Y </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:450px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DV_AMOUN</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>T </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.quantity</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:425px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.quantity</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=627 height=265 style="display:block; float:none; text-align:center; margin-bottom:8px" src="images/data_types_im_img_10.png">
+<P style="margin-bottom:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_types.quantity.date_time Package </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20867" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Standard Date/Times </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The basic requirement is for types which represent the following concepts: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a type which records year, month and day in month. Examples include date of birth, date of onset of a problem </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a type which records hour, minute, second, and timezone. Examples include time of meal, time of day when a problem recurs. Timezone is required in a shared EHR repository so that times of clinical events which occurred in different timezones are comparable; this includes specialised pathology tests which might be done in another country. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a type which records year, month, day, hour, minute, second, and timezone. Examples include date &amp; time of death, timestamp of any observation. Timezone required for the same reason as in Time. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Duration</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a type which records duration of an event or (in)activity, as days, hours, minutes, and seconds. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Partial Date/Times </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Partial or uncertain date/times have to be supported in clinical medicine. It is common for patients to be unsure about dates and durations. Requirements for partial date/times include the following. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:24px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For dates, one of the following rules applies to any instance: </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 55 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Date Time Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>only the year is known </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:120px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>only the year and month are known </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If not even the year is known, then the date is obviously extremely approximate and it would </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>probably be unsafe to represent it computationally. However, if computatable representation </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>was needed in this case, a date interval can be used. A pedantic example which breaks these </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rules is someone who claims to be born on “a Monday at the start of May in 1934” (i.e. day </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>but not date unknown). Either the clinician determines what date the first Monday in May </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1934 actually was and record that (assuming the patient’s way of accurately remembering </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>just happens to be via day rather than date), or else records a partial date of the form “May </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1934” (in ISO 8601 form, “1934-05”) if they determine that the patient really is unsure. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-right:90px; margin-left:108px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sometimes incomplete times are recorded, which follow the same rule that either the hours or both the hours and minutes are present. Examples: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recordings by instruments which only generate hh:mm values (i.e. no seconds); </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recordings by patients who report approximate times of events; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-right:90px; margin-left:108px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recordings by clinicians who use approximate times in administrations, e.g. “take insulin at 8am” really means something like 8am +/- 30 mins. </SPAN
+></LI>
+</ul>
+<LI style="list-style-type:disc; text-align:left; margin-left:24px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Imprecise durations such as “2 - 3 hrs” need to be recordable in a computable form. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To satisfy the faithfulness requirement for health record recording it should always be possible to record the narrative form of the datum provided by the patient as well as the formal form. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_20931" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>General Approach </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date/time values are somewhat special in the realm of data types in that they are expressed in their “customary” form, in which the standard structure of {value, unit} and metric relationships between orders of magnitude do not hold. The customary form is what we are used to using in the social time domain, such as births, deaths, ages, and times and durations of events which we remember. In all these cases it is expressed using the familiar year/month/date/hour/minute/second system, in which the relationships between each successive unit of time is non-metric. The customary form can be converted to a magnitude since an origin point, and many date/time libraries do this in order to implement various operations, particularly comparison. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The date/time types fall into two categories: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>absolute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>relative</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The absolute category comprises the Date, Date_time and Time concepts, each of which measure time from a known origin. Date and Date_time measure calendrical time from the date 0001-01-01, while Time measures clock time from midnight. Both Date_time and Time can include timezone information, ensuring that their instances are correctly situated on the same timeline. All absolute time types inherit from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEMPORAL </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type, which provides the appropriate signature for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>diff()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> function. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The relative category contains only the Duration concept, which expresses elapsed time between two time points. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is used for expressing durations of clinical phenomena and differences between absolute times. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All four concepts are defined in the ISO 8601:2004 standard, which is accordingly used as the definitional basis of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR date/time types. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Partial Date/Times </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:38px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The types defined in this specification support the notion of partially specified dates and times. The modelling approach used here takes into account the known needs for representing partial date/time </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 56 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data, while balancing that with the need to avoid incomprehensibly complex types whose generality would only apply to a tiny percent of difficult cases. Thus, the basis for modelling incomplete date/times is as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The modelling problem relates only to date/time quantities that need to be computable. For extremely imprecise date/times, if the clinician feels the need, she can record it as narrative text. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For imprecise durations, an interval should be used, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;DV_DURATION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In this way durations like “2 - 3 hrs” can be represented, and still be computable. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Based on the above considerations, the requirements for partial types are satisfied by the semantics of ISO8601:2004 for “reduced accuracy” date/times, in which parts of a date, time or date/time can be missing from the right hand end of the string. This models the reasonable situation where e.g. day may be unknown in a date, but a date cannot have month unknown and day known. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Calendars </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A comment on calendars is in order. In this specification, all date/time types currently modelled are Gregorian calendar based. This is the same assumption made by by ISO 8601, and most technical computing systems today in many parts of the world. At first glance this may seem like a culturally insensitive approach, but in fact it makes sense in computational terms, for both users of the Gregorian and other calendars, e.g. Julian, Islamic, Baha’i, etc. Arguments against trying to use the date/time classes defined here to represent date/times from any calendar include the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Almost all dates on computer systems, including in regions such as the Indian sub-continent, Turkey and the middle east, where alternate calendars are in use, are in the Gregorian system. This is likely to be the case for some time, and may always be the case, regardless of the continued use of other calendars for religious or other purposes (outside of health); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If a calendar indicator were used in date quantities, all software, to be correct, would have to check the value to verify that it is in the expected calendar system, and to do something special if it is not - an added cost which is a possible source of bugs and which would rarely be used. The reality is that most software produced in the western world, India etc (possibly excepting open source software) would automatically assume the Gregorian calendar, and would be in error if ever it did receive EHR data containing dates from alternate calendars. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If/when other calendars are used in EHR or related systems, the users of those calendars will be aware of it, and include the appropriate conversion logic between Gregorian dates and their own, limiting the extra software work and quality issues to those users who actually need alternate calendars. If EHRs from such places are sent to a health care facility where Gregorian is the default, nothing special is needed to ensure that those records will contain dates comprehensible to the receiver. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The detailed model of date/times in some other calendars is not the same as in the Gregorian calendar, so they would require different classes anyway - the classes defined here would not necessarily function correctly simply by adding a calendar field. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For users requiring non-Gregorian dates in EHR and other health systems there are two approaches. One is to treat non-Gregorian dates as a localisation issue, to be handled inside the application and GUI evnvironment. The other is to actually add further sibling packages to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR date/time package, for each new calendar or calendar group required. Conversion algorithms would most likely be needed in and out of the Gregorian types to enable interoperability of information drawn from different applications or sources. This approach may require a substantial modelling effort. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 57 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Date Time Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Algorithms for conversion between the Egyptian, Armenian, Khwarizmian, Persian, Ethiopian, Coptic, Republican, Macedonian, Syrian, Julian Roman, Gregorian, Islamic A, Islamic B, Baha’i and Saka calendars are described by Richards </SPAN
+><A href="#LinkTarget_22643">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[7]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and are based on the work of D. A. Hatcher (1986). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Representation </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All of the date/time classes described here are defined so as to have an attribute called </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of type String, in the form of an ISO 8601:2004 string. ISO 8601 is convenient for this purpose, as it is a simple syntax, and covers not only all four variants of fully-specified date/time described here, but also the partial varieties. Using a single string attribute significantly simplifies persistence as well as mapping to XML-based formalisms, which use a mostly ISO 8601 compliant date/time representation. The ISO 8601 semantics assumed by EHR are defined in classes found in the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.support.assumed_types</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. These classes are inherited into the corresponding classes defined below. </SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21005" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_21006" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_TEMPORAL Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TEMPORAL (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Specialised temporal variant of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type is </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ABSOLUTE_QUANTITY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(redefined) </SPAN
+></TD>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>diff</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of two temporal quantities. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21028" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_DATE Class </SPAN
+></P>
+<TABLE style="margin-bottom:46px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DATE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time, as measured on the Gregorian calendar, and specified only to the day. Semantics defined by ISO 8601. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:532px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording dates in real world time. The partial form is used for approximate birth dates, dates of death, etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.7 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TOCD choice Quantifiable Observation Data Item </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD style="width:532px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DTValue</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of DateTime class (this does not distinguish the representation of dates and of times) </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 58 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DATE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_DATE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PointInTime (TS). Note that this type simply measures a number of seconds since an epoch, with a timezone. These values are convertable to y/m/d form via the calendar attribute of TS. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEMPORAL, ISO8601_DATE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:301px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>diff (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of two dates. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:301px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 date string </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:301px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result &gt;= 0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numeric value of the date as days since the calendar origin point 1/1/0000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_iso8601_date(value) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21102" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_TIME Class </SPAN
+></P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TIME </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time from an origin usually interpreted as meaning the start of the current day, specified to the second. Semantics defined by ISO 8601. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:537px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording real world times, rather than scientifically measured fine amounts of time. The partial form is used for approximate times of events and substance administrations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.7, 3.10 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TOCD choice Quantifiable Observation Data Item </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD style="width:537px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DTValue</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of DateTime class (this does not distinguish the representation of dates and of times) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_TIME </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:537px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PointInTime (TS). Note that this type simply measures a number of seconds since an epoch. These values are convertable to ymd form via the calendar attribute of TS. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 59 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEMPORAL, ISO8601_TIME </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:218px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:320px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="width:218px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>diff (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:320px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of two times. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:218px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:320px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:218px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:320px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 time string </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:218px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:320px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:218px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result &gt;= 0.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numeric value of the time as seconds since the start of day. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_iso8601_time(value) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21175" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_DATE_TIME Class </SPAN
+></P>
+<TABLE style="margin-bottom:56px">
+<CAPTION  style="margin-bottom:56px">
+<P style="margin-bottom:56px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DATE_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time, specified to the second. Semantics defined by ISO 8601. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording a precise point in real world time, and for approximate time stamps, e.g. the origin of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which is only partially known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.7, 3.10 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TOCD choice Quantifiable Observation Data Item </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::DateTime </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DTValue</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of DateTime class (this does not distinguish the representation of dates and of times) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_DATE_TIME </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PointInTime (TS). Note that this type simply measures a number of seconds since an epoch, with a timezone. These values are convertable to y/m/d form via the calendar attribute of TS. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEMPORAL, ISO8601_DATE_TIME </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:241px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:296px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 60 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DATE_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:241px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>diff (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>like Current</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:296px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Difference of two date/times. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:241px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:296px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:241px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:296px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 date/time string </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:241px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:296px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:241px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result &gt;= 0.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:296px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numeric value of the date/time as seconds since the calendar origin point. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_iso8601_date_time(value) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21251" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_DURATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DURATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:110px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:110px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents a period of time with respect to a notional point in time, which is not specified. A sign may be used to indicate the duration is “backwards” in time rather than forwards. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Note that a deviation from ISO8601 is supported, allowing the ‘W’ designator to be mixed with other designators. See assumed types section in the Support IM. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for recording the duration of something in the real world, particularly when there is a need a) to represent the duration in customary format, i.e. days, hours, minutes etc, and b) if it will be used in computational operations with date/time quantities, i.e. additions, subtractions etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Durations cannot be used to represent points in time, or intervals of time. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.10 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time Interval or Date Range or text description (pt 4) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_DATE_TIME_DURATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Interval of Point in Time, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The width attribute provides the duration. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> thus models an anchored duration. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_AMOUNT, ISO8601_DURATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 duration </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 61 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date Time Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:796px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_DURATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>prefix ‘-’</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Current </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Negated copy of current object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Numeric value of the duration in seconds. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_iso8601_duration(value) </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 62 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Time_specification Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_21335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Time_specification Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21337">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time specification is about potentiality rather than actuality, and needs its own types. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.time_specification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package provides such types, based on the HL7 types of the same names, and is illustrated in </SPAN
+><A href="#LinkTarget_21365">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 10</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<DIV class="Sect">
+<H4 style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>time_specificatio</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>n </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:0px; margin-left:159px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>DV_TIME_SPECIFICATIO</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>N </SPAN
+></P>
+<P style="text-align:left; margin-bottom:34px; margin-right:106px; margin-left:159px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>[1]</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_PARSABLE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>calendar_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>event_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>institution_specified</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>Boolean </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-right:30px; margin-left:25px; text-indent:239px; line-height:19px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_GENERAL_TIME<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>_ </SPAN
+>SPECIFICATIO<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>N </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_PERIODIC_TIME<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>_ </SPAN
+></SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>SPECIFICATIO<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>N </SPAN
+></SPAN
+></P>
+<DIV class="Sect">
+<P style="text-align:left; margin-bottom:-3px; margin-right:14px; margin-left:25px; text-indent:239px; line-height:19px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>calendar_alignment: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>calendar_alignment: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>period: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>DV_DURATION </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-bottom:-20px; margin-right:30px; margin-left:25px; text-indent:239px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>event_alignment: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>event_alignment: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+></P>
+<P style="text-align:left; margin-bottom:38px; margin-left:25px; text-indent:239px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>institution_specified: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>institution_specified: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>Boolean </SPAN
+></P>
+<P style="margin-bottom:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.data_types.time_specification Package </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21367" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the difficulties with time is expressing future times, since potential occurrences, durations, repetitions cannot be expressed in the same way as actual time. Complicating the problem is the fact that humans tend to use very customary (i.e. calandar-anchored) ways of specifying time, such as “every second Tuesday”, or “ the first Sunday of the month”. In clinical medicine, future time is most commonly used to express when medications or other therapies are intended to take place. They are often anchored to the calendar, and can easily include repetitions. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As with other time types, there are both simple and complex cases to consider. One of the most common examples of time in the future is the timing for drug administrations, e.g. “once every four hours”. This could be represented as a simple periodic specification, consisting of a start point in time, a period, and a number of repetitions. The specification for taking blood sugar levels during a glucose test could be represented as a simple aperiodic series, e.g. “.5hr, 1hr, 2hr”. However, even common specifications for prescriptions e.g. “three times a day for seven days” start to become quite complex, for example, because “three times a day” might not mean literally 8 hours apart. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Some of the factors to consider in timing specifications are: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>period of repetition </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:38px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>duration of activity being specified </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 63 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Time_specification Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>possible alignment to the calendar, e.g. “every 5th of the month” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>possible alignment to real world events e.g. “after meals” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fuzziness </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Because time is inherently “messy” (months do not all have the same number of days, leap years change the number of days in some years etc), and because the relationship we have with time can also be arbitrary (e.g. anchored to mealtimes etc), specifying linguistically obvious specifications formally is quite challenging. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21405" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 version 3 data types for time specification appear to allow for all of the required possibilities. The syntax is based on the ISO 8601 standard </SPAN
+><A href="#LinkTarget_22651">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[9]. It provides types which express: </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Periodic intervals (HL7v3 -</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL&lt;T:TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) - allows period, duration, and calendar linking to be specified. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Event-linked periodic intervals (HL7v3 -</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EIVL&lt;T:TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) - allows </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVLs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to be linked to real-world events like meals. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>General timing specification (HL7v3 - </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GTS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) - allows any time specification to be expressed, using a syntax which is equivalet to a series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (i.e. intervals of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 syntax for time specification is encapsulated in equivalent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR types described here. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21423" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_21424" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_TIME_SPECIFICATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:68px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TIME_SPECIFICATION (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This is an abstract class of which all timing specifications are specialisations. Specifies points in time, possibly linked to the calendar, or a real world repeating event, such as “breakfast”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.9 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:273px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the specification, in the HL7v3 syntax for PIVL or EIVL types. See below. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>calendar_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates what prototypical point in the calendar the specification is aligned to, e.g. “5th of the month”. Empty if not aligned. Extracted from the ‘value’ attribute. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 64 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Time_specification Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_TIME_SPECIFICATION (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>event_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates what real-world event the specification is aligned to if any. Extracted from the ‘value’ attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>institution_specified</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates if the specification is aligned with institution schedules, e.g. a hospital nursing changeover or meal serving times. Extracted from the ‘value’ attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TH>
+<TD colspan=2 style="vertical-align:top; width:534px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21482" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_PERIODIC_TIME_SPECIFICATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:57px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PERIODIC_TIME_SPECIFICATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Specifies periodic points in time, linked to the calendar (phase-linked), or a real world repeating event, such as “breakfast” (event-linked). Based on the HL7v3 data types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EIVL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used in therapeutic prescriptions, expressed as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.9 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Duration data value class provides for the specification of time intervals, and also for a simple string description of the periodicity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EIVL&lt;T&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME_SPECIFICATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The period of the repetition, computationally derived from the syntax representation. Extracted from the ‘value’ attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>calendar_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Calendar alignment extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>event_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Event alignment extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>institution_specified</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value.formalism.is_equal(“HL7:PIVL”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.formal-ism.is_equal(“HL7:EIVL”) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 65 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Time_specification Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_21541" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Phase-linked Time Specification Syntax </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The syntactic form of phase-linked periodic time specifications (derived from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> spec HL7v3 ballot) is as follows. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; text-indent:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>“[” interval “]” “/” “(” difference “)” [ “@” alignment ] [ “IST” ]</SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>[200004181100;200004181110]/(7d)@DW = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>every Tuesday from 11:00 to 11:10 AM. </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:-8px; margin-left:24px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>[200004181100;200004181110]/(1mo)@DM&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = every 18th of the month 11:00 to </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:6px; margin-right:425px; text-indent:60px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>11:10</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> AM. A parse specification is as follows: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:192px; text-indent:-153px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>phase_linked_time_spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: pure_phase_linked_time_spec </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>pure_phase_linked_time_spec “IST</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>” 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:192px; text-indent:-153px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>pure_phase_linked_time_spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: phase </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>phase “@” alignmen</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>phase</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: interval “/” “(” difference “)” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>alignment</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: “DW” | etc /* terms from “HL7::CalendarCycle” domain */ </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>difference</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: /* ISO 8601 for time difference */ </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>interval</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: “[” interval_spec “]” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:192px; text-indent:-153px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>interval_spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: “;” </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>“;” date_time </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>date_time “;” date_time </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>date_time “;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>” 
+</SPAN
+></P>
+<P ID="LinkTarget_21568" style="text-align:left; margin-bottom:-3px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>date_time</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: /* ISO 8601 for date/time string yyyymmdd[hh[mm[ss]]] */ </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="margin-bottom:-8px; line-height:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Event-linked Periodic Time Specification Syntax </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:6px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples of event-linked periodic time specifications include: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px; text-indent:36px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&quot;PC+[1h;1h]&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>= one hour after meal </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; text-indent:36px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&quot;HS-[50min;1h]&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = one hour before bedtime for 10 minutes The following parse specification defines the syntax for event-related periodic time specifications. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:144px; text-indent:-105px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>event_linked_time_spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: event </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>event offse</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>event</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: “AC” | “ACD” | etc /* HL7 domain “HL7::TimingEvent” */ </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>offset</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: &quot;+&quot; dur_interval </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>&quot;-&quot; dur_interva</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>l 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>dur_interval</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: /* ISO 8601 for duration interval */ </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21583" style="text-align:left; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_GENERAL_TIME_SPECIFICATION Class </SPAN
+></H3>
+<IMG width=648 height=72 style="display:block; float:none; text-align:center; margin-bottom:27px" src="images/data_types_im_img_11.png">
+<P style="margin-bottom:38px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Specifies points in time in a general syntax. Based on the HL7v3 GTS data type. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 66 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Time_specification Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:8px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_GENERAL_TIME_SPECIFICATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; 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:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.9 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Duration data value class provides for the specification of time intervals, and also for a simple string description of the periodicity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GTS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME_SPECIFICATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>calendar_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Calendar alignment extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>event_alignment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Event alignment extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:273px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>institution_specified</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Extracted from value. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value.formalism.is_equal(“HL7:GTS”) </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H4 ID="LinkTarget_21639" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>General Time Specification Syntax </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The class is the same structurally as the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME_SPECIFICATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> parent. The syntax is the HL7 GTS syntax, defined by the following parse specification: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>general_time_spec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: symbol </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>union </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>exclusio</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>union</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: intersection &quot;;&quot; union </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>intersectio</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:39px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>exclusion</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: exclusion &quot;\&quot; intersection </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>intersection</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: factor intersection </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>| 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>facto</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>r 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>hull</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: 	</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>factor &quot;..&quot; hull </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>facto</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>r 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:132px; margin-left:96px; text-indent:-57px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>factor</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>interval </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>phase_linked_time_spec </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>event_linked_time_spec </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>|
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>&quot;(&quot; general_time_spec &quot;)</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>" 
+</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 67 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Time_specification Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 68 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Encapsulated Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_21688">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Encapsulated Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21690">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>9.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.encapsulated</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package contains classes representing data values whose internal structure is defined outside the EHR model, such as multimedia and parsable data. It is illustrated in </SPAN
+><A href="#LinkTarget_21699">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 11. </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=624 height=439 style="display:block; float:none; text-align:center; margin-bottom:19px" src="images/data_types_im_img_12.png">
+<DIV class="Sect">
+<H3 ID="LinkTarget_21701" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>9.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There is a need to be able to include content in the EHR whose interior structure is not modelled in the EHR reference model, but instead documented by sufficient meta-data attributes for specific tools to process the data. Types of content in this category are as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Images, including images which are themselves a compressed version of one image from a high-resolution image set stored elsewhere. Such images may be in any of the well-known compressed or uncompressed formats, and may have their own thumbnail image attached, to facilitate web-viewing. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Bio-signal data series, such as a set of values representing a diagnostic part of an ECG trace. This might be represented as DICOM content. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:38px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Content which is textual (or nearly so) which is essentially a parsable language file of some kind. This includes all XML instance, HTML, and any other EHR content which happens to </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 69 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Encapsulated Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>be represented in syntax form - such as the unit strings used in quantities. The name of the formalism should be stored as meta-data. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Binary content which is processed by a work processor or other dedicated tool. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Digital signatures. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sufficient meta-data must be included with all of these types to enable a way for the content to be processed, typically by indicating either its type (e.g. “jpeg”, “word document”) or the name of a tool which can be used to process it. Important meta-data include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>size of the content; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>natural language, if any. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any encapsulated data item may be a summary, “thumbnail” or otherwise reduced form of an original content item found outside the EHR, in some other system or file-system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Checksums must be expressible for those items for which a checksum is available, or for which the system generates checksums to improve the quality of its internal data transmissions. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21752" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>9.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design approach used here is based on the following analysis. </SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any encapsulated data item may be in some particular language, even if it is an image or other graphic form such as a biosignal with axis markings in a particular language; </SPAN
+></LI>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-right:197px; margin-left:110px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The general structure of encapsulated content data items includes a block of bytes or characters representing the content, and various meta-data as appropriate, including: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>size </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>character encoding </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-right:197px; margin-left:110px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>compression type/algorith</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>m 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name of formalism for parsable conten</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></LI>
+</ol>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For encapsulated items that have a counterpart in another system, the standard means of portable address is the W3C URI; </SPAN
+></LI>
+<LI style="list-style-type:decimal; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For items may that have an associated integrity checksum, the checksum is itself a series of bytes, and the type of checksum must also be specified, e.g. “md5”. </SPAN
+></LI>
+</ol>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These observations lead naturally to an abstract </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, with two subtypes, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, for all content which is syntactic in nature, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for everything else. Note that it is possible to imagine parsable content items which are large, stored in compressed form, and are themselves a summary of another item elsewhere on the web; such items can for practical purposes be represented as instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, rather than </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The vast majority of parsable encapsulated data are expected to be short and stored in native textual form, e.g. fragments of XML or HTML. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The formal model of the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are closely based on the ED type from the HL7v3 data types specification. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21778" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>9.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21780" style="margin-bottom:79px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>9.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_ENCAPSULATED Class </SPAN
+></H3>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 70 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Encapsulated Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_ENCAPSULATED (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract class defining the common meta-data of all types of encapsulated data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 2.6 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TBD </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COAS::MultiMedia </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Encapsulated_data (ED) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:230px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:308px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:230px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>size</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:308px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Original size in bytes of unencoded encapsulated data. I.e. encodings such as base64, hexadecimal etc do not change the value of this attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:230px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:308px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:230px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:308px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of character encoding scheme in which this value is encoded. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “character sets”. Unicode is the default assumption in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, with UTF-8 being the assumed encoding. This attribute allows for variations from these assumptions. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:230px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="width:308px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional indicator of the localised language in which the data is written, if relevant. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “languages”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:230px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:308px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:230px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:308px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = alternate_text [(uri)] </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Size_positive</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: size &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Charset_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: charset /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_character_sets).has_code(charset) </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_21850" style="text-align:center; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>9.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_MULTIMEDIA Class </SPAN
+></H3>
+<IMG width=651 height=104 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/data_types_im_img_13.png">
+<P style="text-align:justify; margin-bottom:34px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A specialisation of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for audiovisual and biosignal types. Includes further metadata relating to multimedia types which are not applicable to other subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 71 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Encapsulated Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:35px">
+<CAPTION  style="margin-bottom:35px">
+<P style="margin-bottom:35px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:102px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:548px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_MULTIMEDIA </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>STR 3.1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:48px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="width:548px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Bulky Data class provides for the representation and storage of all binary data classified by its MIME type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_MULTIMEDIA_DATA </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Encapsulated_data (ED) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:206px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:343px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>alternate_text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Text to display in lieu of multimedia display/replay </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>media_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data media type coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR code set “media types” (interface for the IANA MIME types code set). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>compression_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="width:343px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Compression type, a coded value from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR “Integrity check” code set. Void means no compression. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:206px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>integrity_check</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array &lt;Octet&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Binary cryptographic integrity checksum </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>integrity_check_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type of integrity check, a coded value from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR “Integrity check” code set. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:206px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>thumbnail</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA </SPAN
+></TD>
+<TD style="width:343px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The thumbnail for this item, if one exists; mainly for graphics formats. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI </SPAN
+></TD>
+<TD style="width:343px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URI reference to electronic information stored outside the record as a file, database entry etc, if supplied as a reference. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 (cond) </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array &lt;Octet&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The actual data found at </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, if supplied inline </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:206px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>size</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Size in bytes of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, if present, or else of the object referred to by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:206px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:343px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:102px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:206px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_external</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uri /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:343px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: True if the data is stored externally to the record, as indicated by `uri'. A copy may also be stored internally, in which case `is_expanded' is also true. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 72 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Encapsulated Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:102px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:548px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_MULTIMEDIA </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:102px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:206px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_inline</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: True if  the data is stored  in expanded form, ie within the EHR itself. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:102px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:206px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_compressed</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>compression_algorithm /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>compression_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: True if  the data is stored in compressed form. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:102px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:206px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_integrity_check</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integrity_check_algorithm /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Result </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Computed from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integrity_check_algorithm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: True if an integrity check has been computed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:102px; height:214px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:548px; height:214px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Not_empty</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_inline </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_external </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Media_type_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: media_type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_media_types).has_code(media_type) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Compression_algorithm_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: compression_algorithm /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_compression_algorithms). has_code(compression_algorithm) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Integrity_check_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: integrity_check /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integrity_check_algorithm /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Integrity_check_algorithm_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: integrity_check_algorithm /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_integrity_check_algorithms). has_code(integrity_check_algorithm) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_21967" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>9.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_PARSABLE Class </SPAN
+></P>
+<TABLE style="margin-bottom:54px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PARSABLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Encapsulated data expressed as a parsable </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The internal model of the data item is not described in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model in common with other encapsulated types, but in this case, the form of the data is assumed to be plaintext, rather than compressed or other types of large binary data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for representing values which are formal textual representations, e.g. guidelines. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFE7EF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 18308 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(none) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ENCAPSULATED </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (effected) </SPAN
+></TD>
+<TD style="vertical-align:top; width:273px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>size</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Size in bytes of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 73 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Encapsulated Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:721px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_PARSABLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:273px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:273px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The string, which may validly be empty in some syntaxes </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:273px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>formalism</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name of the formalism, e.g. “GLIF 1.0”, “proforma” etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="width:534px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>formalism_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: formalism /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> formalism.is_empty </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 74 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Uri Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_22038" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>10 Uri Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22040">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>10.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package includes two types used for referring to information resources. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type allows data values which are references to objects on the world wide web to be created. Its specialisation, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, enables any element in an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR record to be identified in the same way as other objects on the web. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type is convenient, because it is a string, like any other URI, and is therefore easily transportable and processable. Because it has its own scheme space, “ehr”, instances can be globally unique, as long as EHR identification is globally unique. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URIs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are used to express all runtime paths in the EHR. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Package is illustrated in </SPAN
+><A href="#LinkTarget_22054">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 12. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>DATA_VALU</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:41px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.data_types.basic</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>ur</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>i </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:27px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_UR</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>I </SPAN
+></P>
+<P style="text-align:left; margin-bottom:27px; margin-right:25px; margin-left:27px; line-height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>scheme</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>fragment_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#007E00"
+>query</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF00FF"
+>String </SPAN
+></P>
+<P style="text-align:left; margin-bottom:54px; margin-left:23px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>DV_EHR_UR</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>I </SPAN
+></P>
+<P style="margin-bottom:20px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> rm.data_types.uri Package </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22056" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>10.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This package meets the requirement for a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtype which represents a W3C Uniform Resource Identifier (URI). A common example of where this might be used is to represent a reference to a clinical guideline or other justifying document associated with an intervention or treatment plan recorded in the EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URIs are a superset of Uniform Resource Locators (URLs) (although the two are often confused, even within the W3C), and can be used to specify the location of any information item, regardless of its type, location or storage method, as long as a URI “scheme” exists for that type of information. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There is an additional requirement for a kind of URI that can point at an EHR data item, either inside the same EHR containing the link, or in another EHR. This is the basis of implementing the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINK </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22061" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>10.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A simple design approach is used whereby a URI is represented as a String, and appropriate functions are defined to extract the various parts according to the syntax of URIs defined by Tim Berners-Lee at </SPAN
+><A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/rfc/rfc2396.txt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. An EHR specific subtype is defined, whose scheme is </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“ehr”, and which contains further attributes enabling the instances of the type to record what kind of object they are referring to. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 75 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Uri Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22077">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>10.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Definitions </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following symbolic definitions are used in the classes below. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Ehr_scheme</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: String is “ehr” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22081" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>10.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_22082" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>10.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_URI Class </SPAN
+></P>
+<TABLE style="margin-bottom:227px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_URI </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:174px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:174px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A reference to an object which conforms to the Universal Resource Identifier (URI) standard, as defined by W3C RFC 2936. See &quot;Universal Resource Identifiers in WWW&quot; by Tim Berners-Lee at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/rfc/rfc2396.txt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is a World-Wide  Web  RFC for global identification of resources. See </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.w3.org/Addressing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for a starting point on URIs. See </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/rfc/rfc2806.txt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for new URI types like telephone, fax and modem numbers. </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Enables external resources to be referenced from within the content of the EHR. A number of functions return the logical subparts of the URI string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="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:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TBD </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::TechnologyInstanceLocator </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TBD </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:191px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:348px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:191px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: String </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:348px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Value of URI as a String. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:191px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:348px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 76 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Uri Package Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_URI </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:233px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:191px; height:233px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>scheme</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:348px; height:233px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A distributed information &quot;space&quot; in which  information objects exist. The scheme simultaneously specifies an information space and a mechanism for accessing objects in that space. For example if scheme  = &quot;ftp&quot;, it identifies the information space in which all ftpable objects exist, and also the application - ftp - which can be used to access them. Values may include: &quot;ftp&quot;, &quot;telnet&quot;, &quot;mailto&quot;, &quot;gopher&quot; and many others. Refer to WWW URI RFC for a full list. New information spaces can be accommodated  within the URI specification. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:197px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:191px; height:197px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:348px; height:197px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A string whose format is a function of the scheme. Identifies the location in &lt;scheme&gt;space of an information entity. Typical values include hierarchical directory  paths for any machine. For example, with scheme = &quot;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ftp</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot;, path might be </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>/pub/images/image_01</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The strings &quot;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; and &quot;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>..</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; are reserved for use in the path. Paths may include internet/intranet location identifiers of the form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>sub_domain...domain</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, e.g. &quot;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>info.cern.ch</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:191px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>fragment_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:348px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A part of, a fragment or a sub-function within an object. Allows references to sub-parts of objects, such as a certain line and character position in a text object. The syntax and semantics are defined by the application responsible for the object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:191px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>query</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:348px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Query string to send to application implied by scheme and path Enables queries to applications, including databases to be included in the URI Any query meaningful to the server, including SQL. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_22156" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>10.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>DV_EHR_URI Class </SPAN
+></P>
+<TABLE style="margin-bottom:24px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_EHR_URI </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which has the scheme name “ehr”, and which can only reference elements in EHRs. The syntax is described below. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to reference elements in an EHR, which may be the current one, or another. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 77 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Uri Package </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:8px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:339px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_EHR_URI </SPAN
+></TH>
+<TH style="text-align:center; width:196px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:251px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:33px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="width:196px; height:33px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:339px; height:32px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Scheme_is_ehr</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: scheme.is_equal(Ehr_scheme) </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:196px; height:32px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H4 ID="LinkTarget_22197" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>10.3.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>DV_EHR_URI Syntax </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The syntax of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR path, inside the “ehr” URI scheme-space, and is of the form: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>“ehr://” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>ehr_path </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:655px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The syntax of ehr_path is described in the section on Paths in The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview document. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URIs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are used as a mechanism for  referencing in the EHR, ensuring readability by humans, as well as validity when extracts are transmitted elsewhere: even if the target of a path is not present, the path can be used to locate the missing item on demand. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 78 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Implementation Strategies Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_22216" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>11 Implementation Strategies </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22218">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>11.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This section notes a few of the general challenges for mapping the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types to implementation technologies such as programming languages and XML. For specific guidelines, Implementation Technology Specification (ITS) document for each target formalism should be consulted. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22221">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>11.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Quantities and Ordered_numeric </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is shown having an abstract property of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Ordered_numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is intended to indicate that the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is distinguished by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> property (compared to say </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which describes ordered things without having magnitudes). The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Ordered_numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> be mapped to various types in implementation technologies as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Java: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>java.lang.Number </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>C#: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>System.IComparable </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Eiffel: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>NUMERIC </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All of these type systems currently suffer from not having a single type whose meaning is both “ordered” (having the function ‘&lt;‘) and “numeric” (having the functions ‘+’, ‘-’, ‘*’, ‘/’) but in practice it does not matter much. For type systems with no convenient supertype of the numeric concrete types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, the magnitude property can safely be left out of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the only drawback is that code cannot call </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>magnitude</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> polymmorphically, e.g. in a statistical application processing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_COUNT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>objects. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22233">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>11.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Unicode </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unicode is supported in various ways in different languages. In Java, since JDK 1.1, unicode support is implicit in the base classes. From the documentation: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>java.io.InputStreamReader</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>java.io.OutputStreamWriter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>java.lang.String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can convert between Unicode and a number of other character </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>encodings. More information is available at: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; text-indent:60px; line-height:19px">
+<A href="http://java.sun.com/j2se/1.3/docs/guide/intl/encoding.doc.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://java.sun.com/j2se/1.3/docs/guide/intl/encoding.doc.html</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the C# language, conversion can be done between Unicode and other codepages using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>System.Text.UnicodeEncoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for UTF-16) and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>System.Text.UTF8Encoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for UTF-8) classes. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In XML unicode is handled by specifying the encoding of the document in the XML declaration, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>&lt;?xml version=&quot;1.0&quot; encoding=&quot;UTF-16&quot;?&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the Eiffel language, unicode is available in the Gobo public domain library (see </SPAN
+><A href="http://www.gobosoft.com">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.gobosoft.com</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), in the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UC_STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, which inherits from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:94px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The support in other languages varies, and may require a special type like the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UC_STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> used in Eiffel. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 79 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Implementation Strategies </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22257">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>11.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Dates and Times </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In some formalisms, dates and times are represented using a single calendar-like class. This is not considered to be good practice from the point of specification, since it is more difficult to state proper invariants for such a class used to represent a particular logical type such as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, however, its utility in implementation is recognised. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:755px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where implementors want to use such a class (call it </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CALENDAR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> here for the sake of discussion) the recommended approach is to wrap the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CALENDAR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> with classes representing the types described in this specification, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> etc. This enables the addition of any necessary functionality in the wrapper for example, for serialising and deserialising in and out of XML. </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 80 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Comparison with HL7v3 Types Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_22273" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>12 Comparison with HL7v3 Types </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22275" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>12.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Scope </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Some HL7v3 types are not modelled in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. HL7v3 V3DT types which are assumed by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR to exist in the underlying type system of any implementation technology include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Integer (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Real (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SET</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LIST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Bag (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BAG</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HL7v3 types which are not modelled here because they are almost always too volatile for concrete modelling, and can be created with archetyped generic information structures are as follows (even in HL7 they are really data structures rather than data types): </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Postal address (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AD</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entity name (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Person name (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Organisation name (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Trivial name (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:6px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These types are all modelled by archetyped spatial data structures in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR (equivalent to subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Structure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the CDA specification)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HL7v3 types which may need to be modelled in the future include</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: 
+</SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Uncertain value probabilistic (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UVP</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:-3px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Non-parametric probability distribution (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>NPPD</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></LI>
+</ul>
+<ul style="list-style-type:disc">
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:0px; text-indent:36px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Parametric probability distribution (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PPD</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) Types which are provided by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR but not supported directly by HL7 include: </SPAN
+></LI>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-left:36px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state variable (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ordinal values (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_ORDINAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:-3px; margin-left:36px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>explicit partial date and time types (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+</ul>
+</ul>
+<LI style="list-style-type:disc; text-align:left; margin-bottom:20px; margin-left:0px; text-indent:36px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>explicit time duration (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DURATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). Types in the latter two categories may be implementable with the TS (timestamp) type. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22338" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>12.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Differences </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are some significant differences in design approach between the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types and the HL7v3 data types, described in the following sections. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22341" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Naming </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All types in the HL7 specification have two names, one short and one long. For example the type representing physical quantities is known both as “PhysicalQuantity” and “PQ”. While short names may be reasonable for often-used types, someshort names are not obvious, e.g. “EN”, “ON”, “TN”, “NPPD” etc. Short names certainly have benefits for drawing tools such as Rational Rose or other </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 81 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Comparison with HL7v3 Types </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UML tools, however, it is questionable whether a formal model should include concept names chosen on the basis of visual appearance in such tools (one might argue that such tools should provide aliases for visual purposes, without changing the actual model). Another problem is that UML does not include the concept of class name aliases, nor do most programming languages. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model uses one name only for each class. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22358" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Identification </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 V3DT includes the types II, UID, OID and UUID. The II type is claimed to be for identifying all kinds of entities, which we here classify as real-world entities (“RWEs”) (such as people, vehicle registrations, invoices) and informational entities (“IEs”) - which in general are snapshots of data representing an RWE in a computer system. One problem with RWE identification schemes is that some are known (e.g. social security number) to produce fallible identifiers or situations where multiple RWEs have the same identifier, or no identifier at all. Conversely, with well-controlled and internationally agreed ways of issuing/generating information system identifiers (e.g. GUID, ISO OID) it is thought that such identifiers can be made reliable, and indeed correspond 1:1 with their intended IEs. However, a problem with IEs is that there are often duplicates and also multiple versions in time, each intended to represent the same RWE (such as a particular person, observation or composition). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As far as can be ascertained currently, there is no standard analysis taking into account the existence of IEs and RWEs, and recognising the fact that multiple versions and/or duplicates may refer to the same RWE. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach taken in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR with respect to identifiers is currently as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:0px; margin-right:241px; margin-left:108px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RWE identifiers such as social security numbers, licence numbers, etc are modelled with the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which has the attributes: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>issuer: String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>id: String </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-right:241px; margin-left:108px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type: String The attributes listed above are nearly the same as for the HL7 II type, indicating that the two types may be compatible. </SPAN
+></LI>
+</ul>
+<LI style="list-style-type:disc; margin-bottom:15px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identification of IEs is done using the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is not a data type, and is documented in the Support Information Model. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type takes into account the fact that there may be multiple IEs referring to the same underlying RWE by adding a version identifier (assumed to be a timestamp). </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22374" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Archetyping </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types are defined on the assumption of archetype-based systems. While they will work perfectly well in systems which know nothing about archetyping, some types are not defined because archetypable structures built from more basic entities are assumed instead, rather than concretely modelled data types. These include “types” for address and person name which are found in HL7v3 and CEN 13606. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22377" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Treatment of Inbuilt Types </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 data types do not make any assumptions about the existence of types typically built-in to most object and relational formalisms, such as the basic types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and the generic types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Bag&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Hence, the types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SET&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BAG&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and so on are redefined by HL7. The supposed advantage of this approach is that the semantics of all types in the HL7 system, right down to atomic data items are self-contained </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 82 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Comparison with HL7v3 Types Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in the definition, and do not rely on external semantics. Possible problems with this approach include the following. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 definitions diverge from the OMG IDL and ISO 11404 definitions of the basic data types, which could cause unexpected problems in software development and data processing which is done in typical development technologies (object-oriented and relational). </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are defined as subtypes of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>QTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type, a relationship that does not exist in any object-oriented formalism for these types (in particular, there is no substitutability of a type called Integer or Real for a type called Qty built in to any object language). The definitions of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are also different from those found in most object formalisms. This might cause some difficulty in implementation. </SPAN
+></LI>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The binary data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BIN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is represented as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;BL&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (where each item can be True, False, null), whereas it would normally be expected to be something like </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;Octet&gt;</SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(i.e.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> an array of bytes) in most software environments. There does not appear to be any utility in defining it as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;BL&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, since binary data is almost without exception represented and processed as contiguous arrays of machine bytes. </SPAN
+></LI>
+</ul>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The string type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> inherits from the encapsulated data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which in turn inherits from the binary data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BIN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The result of this is that an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contains numerous data attributes relating to multi-media data, and the content is presumably represented as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;BL&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is a major departure from the standard understanding of a string in computer sciences, which is usually simply an array of characters. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 boolean type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a three-valued logic type due to the null marker approach (see below), not the usual two-valued type found in the Boolean concept in programming languages. The same is true of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: due to the null marker design, “null” is a possible return value of an integer or real as well as true integer and real values. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In general, where differences exist between same-named types in HL7 and an underlying formalism such as a programming language, there is likely to be some confusion in implementation. Further, there is likely to be confusion in how to process instances of basic types which contain numerous (and sometimes recursive) fields which are not used in the standard specifications of basic types. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR approach with respect to inbuilt types is to assume only those types found in the mainstream object-oriented programming languages, and in particular, definitive formalisms like OMG IDL and XML. While this means there there is in theory less control over these types than in the HL7 approach, the number of types involved is quite small, and the problem of bindings to the basic types of object formalisms is well understood. Additionally, since it is recognised that some data types defined by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR could clash with types found in some languages and libraries, all data type class names are prefaced with “DV_” to avoid naming confusion, and to allow implementations of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR types to co-exist with existing types in implementation formalisms. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22421" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Use of Null Markers </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All HL7 data types inherit from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ANY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class (equivalent to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DATA_VALUE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR) which contains the attributes: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>BL nonNull; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>CS nullFlavor; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>BL isNull; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The purpose of these attributes is to indicate whether a datum is Null, and for what reason. Since some data type classes also appear as the attributes of other data types, the Null markers also indicate </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 83 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Comparison with HL7v3 Types </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>whether any part of a datum is null. Thus, in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Interval&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> shown below, all attributes have the possibility of containing a Null marker. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>type Interval&lt;T&gt; alias IVL&lt;T&gt; extends Set&lt;T&gt; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>{ </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T low;</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>BL lowClosed; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T high;</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:448px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>BL highClosed; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:440px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T.diff width; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T center;</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:96px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>IVL&lt;T&gt; hull(IVL&lt;T&gt; x); </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>literal ST;</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>promotion IVL&lt;T&gt; (T x); </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>demotion T;</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>};</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For example, this allows an interval with missing ends and width to exist as a structured type. The consequence of the approach is that the entire model is essentially a model of “partial” data types; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any attribute and any function call may return a Null value, as well as the true values of its type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (in fact, in the specification, Null values are defined to be valid values of all data types). This design decision was taken in HL7 so that any datum, no matter how unknown, would be structurally representable in the same way as completely known data, enabling it to be processed in the same way as all other instances of the same type. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>However, an important object-oriented design principle has been ignored in this approach. In the proper design of classes, properties and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>class invariants</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are stated. Invariants are statements which describe the correctness conditions of instances of the class; the general rule is that the post-condition of a creation routine (constructor) of a class must be that the invariants are satisfied. For example, an invariant of the HL7 </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class could be: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>(exists(low) and exists(high)) or else </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>(exists(low) and exists(width)) or else </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>(exists(width) and exists(high))</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When an instance of this class is created, this condition should be satisfied, and remain satisfied for the life of the instance. To do otherwise is to create instances of data which other software can make no assumptions about, and is forced to check every single field, and then determine what to do in an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><A href="#LinkTarget_22641">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> way. (See [6] p366, [4] p43, [5] p29 for detailed explanations of the invariant concept). </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Possible consequences of the built-in Null marker design approach include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>since even HL7’s basic types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>REAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LIST&lt;&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SET&lt;&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> include null markers, processing of null values will be pervasive at the lowest level; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>software will be more complex, both implementations of the data types, and of software which handle them. This is because the software always has to deal with the possibility of calls to routines and attributes returning Null values. Most clinical information systems to date have taken the approach that a datum is either represented as an instance of a formal type if fully known, or else as narrative text if only partial; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data may not be always be safely processable, since some software may not properly handle the null values associated with attributes of partially known data items. Essentially, all software which processes the data has to be “null-value aware”, and make no assumptions at all about whether a particular data instance is valid or not. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 data type model is in contrast with simpler approaches such as used in CEN, GEHR, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, where data types are formal models of types such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Coded_term</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and so on. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 84 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Comparison with HL7v3 Types Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Rather than build the possibility of null markers into every attribute and class in the data types, a single null marker is defined in relevant containing classes. This decision is based on the principle that data types should be defined independently of their context of use. Hence, where data types are used as data values, such as in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ELEMENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR reference model, the parallel features </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_null</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>null_flavour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are also defined. However, where data types appear as attributes elsewhere in the model and there is no possibility of them being null, no null markers are used. </SPAN
+><A href="#LinkTarget_22496">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 13</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> shows visually the difference between the two approaches. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:46px; margin-right:159px; margin-left:177px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data Data </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data Value #1 Value #2 Value #3 </SPAN
+></P>
+<P style="margin-bottom:123px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 approach </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Typical approach </SPAN
+></P>
+<IMG width=409 height=347 style="display:block; float:none; text-align:center; margin-bottom:13px" src="images/data_types_im_img_14.png">
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The consequences of the standard software-engineering approach include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data types can be more easily formally specified, since the semantics of invariants, attributes and operations do not need to include the possibility of null values; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>software implementations are simpler; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data are always guaranteed to be safely processable for decision support and general querying, since no instance of a formal type will be created in the first place if the datum is very unreliable; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>null markers only appear in models where they are relevent, rather than everywhere data types are used; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>however, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data types do not automatically deal with missing or unknown internal attribute values (such as missing high </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> low values for an interval, partial dates etc). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In order to deal with the last possibility, various approaches are used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for most data which is not fully known, no data type instance is created, and a null marker is created. Depending on the design of the revelant archetypes, there will usually be the possibility of recording the datum in narrative form; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:38px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR reference model include a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>certainty</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, for recording a level of doubt; </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px; line-height:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 85 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Comparison with HL7v3 Types </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for particular data types which are often partial, special features are defined. The main types affected are </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the properties </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>month_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>day_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>minute_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>second_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (based on ISO 8601 semantics) are used to define explicitly the semantics of dates with a missing day, times with missing seconds and so on; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Intervals of date/time types include types generated when the parameter type is one of the partial classes, thus, types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL&lt;DV_DATE&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (where one or both ends has an unknown part) are possible. This covers the need for intervals in which some date is missing from the end date/times, while not allowing intervals with completely missing items to be created; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for expressing uncertainy more precisely, probability distribution data types (based on the types defined in HL7) can be used. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A consequence of the HL7 model is that data instances represented in XML or another structured text format will be structurally the same regardless of whether there are Null values or not. A structured form for partially known data (which would normally break the invariants of its class) may well be useful for representing the data as part of a text field, making it easier to use for whatever processing is possible later on. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22557" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Terminology Approach </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is to assume the existence of a Terminology Server which is the sole authoritative interface with terminologies of any kind, and is the only entity which can assume responsibility for querying, post-coordination or other manipulations of terms. No allowance is made for coordination of “modifiers”, “qualifiers” or any other terms outside the service. As a consequence, there are no coordination facilities in the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, a departure from earlier versions of the specification - any term provided from the terminology service must already be “coordinated”, either by the terminology service, or by one of the terminologies it accesses. This places the responsibility of combining terms firmly in the knowledge part of the system, and prevents unsanctioned, unvalidated combinations being created elsewhere. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22560" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Date/Time Approach </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 specification uses a single TS type to represent all logical dates, times, date/times, and partial versions thereof. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specification defines distinct types for each, since these are the types which occur in the real world, and it is easier to specify correctness constraints with this approach. It is recognised that a single type may be used by some implementors (depending on what is available in the language being used), however, the recommended practice is to wrap any such types with the logical types described in this specification. This approach reduces the possibility for any errors in transmitted data (since no strange combinations of year, ... , second can occur not explicitly described in the type definitions). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22563" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Time Specification Types </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7 approach for time specification appears to cover all reasonable requirements, but has some minor problems, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EIVL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are declared as being generic types (i.e. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL&lt;T:TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EIVL&lt;T:TS&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), when there appears to be no reason for this; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:34px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>phase</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is used to represent an interval during which a activity occurs, example given is &quot;2 minutes every 8 hours&quot;. However, the &quot;2 mins&quot; is almost always part of a therapeutic prescription of some kind, not part of the timing specification as such. Thera-</SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 86 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Comparison with HL7v3 Types Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>peutic prescriptions have the form &quot;do X every Y time&quot;, where the X describes what to do, and how long to do it for (e.g. 40 mins massage, administer a drug slowly over 10 mins). In fact, what we are really interested in with a timing specification is the specification of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>starting points in time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of some activity, not a time-based graph of on/off points, whch is effectively what the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PIVL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type is now. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22591" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>12.2.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Type Conversions </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 data types specification allows various type conversions, as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-right:48px; margin-left:48px; line-height:16px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>Three kinds of type conversions are defined: promotion, demotion, and character string liter</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>als. Type conversions can be implicit or explicit. Implicit type conversion occurs when a certain type is expected (e.g. as an argument to a statement) but a different type is actually provided. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One notable kind of conversion possible in HL7 is of a value of any type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> into an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Bag&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IVL&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>containing the value. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:626px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model does not provide for any type conversions other than those automatically available between inbuilt basic numeric types such as Integer, Float and Double, and between types related by inheritance, as supported by all object-oriented languages. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 87 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Comparison with HL7v3 Types </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 88 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </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_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_22622" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22624" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Berners-Lee T. &quot;Universal Resource Identifiers in WWW&quot;. Available  at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+></A>
+</SPAN
+><A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tp://www.ietf.org/rfc/rfc2396.txt</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is a World-Wide  Web  RFC for global identification of resources. In current use on the web, e.g. by Mosaic, Netscape and similar tools. See </SPAN
+><A href="http://www.w3.org/Addressing">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://www.w3.org/Addressing</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for a starting point on URIs. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>et al</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design Principles for the EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/openEHR</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-right:18px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Booch G. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-Oriented Analysis and Design with applications</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2nd ed. Benjamin/Cummings 1994. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Kilov H. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Information Modelling - an object-oriented approach</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Prentice Hall 1994. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 2nd Ed. Prentice Hall 1997. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Richards E G. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mapping Time - The Calendar and its History</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oxford University Press 1998. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-right:18px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schadow G, McDonald C J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Unified Code for Units of Measure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, Version 1.4, April 27, 2000. Regenstrief Institute for Health Care, Indianapolis. See  </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://aurora.rg.iupui.edu/UCUM">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://aurora.rg.iu-</SPAN
+></A>
+<A href="http://aurora.rg.iupui.edu/UCUM">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>pui.edu/UCUM </SPAN
+></A>
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-right:18px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO 8601 standard describing formats for representing times, dates, and durations. See e.g. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.mcs.vuw.ac.nz/technical/software/SGML/doc/iso8601/ISO8601.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.mcs.vuw.ac.nz/technical/software/SGML/doc/iso8601/ISO8601.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.cl.cam.ac.uk/~mgk25/iso-time.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+></A>
+<A href="http://www.cl.cam.ac.uk/~mgk25/iso-time.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tp://www.cl.cam.ac.uk/~mgk25/iso-time.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22660" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>European Projects </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22667" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-2 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 2: Domain term list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-3 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 3: Distribution rules</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22675" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>GEHR Australia </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:27px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Technical Requirements</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.gehr.org/technical/require</SPAN
+></A>
+<A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ments/gehr_requirements.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 89 of 9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1 	</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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>References </SPAN
+><A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_22697" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>HL7 </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:870px; margin-right:9px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schadow G, Biron P. HL7 version 3 deliverable: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version 3 Data Types</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (2nd ballot 2002 version). </SPAN
+></P>
+<P style="margin-bottom:15px; 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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_22715">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 90 of 91 </SPAN
+></A>
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_17798">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Data Types Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:34px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_17930">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_17802">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_22714">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 91 of 91 </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_17933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 12 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_17868">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
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+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_6408">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6457">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6586">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6603">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6775">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_6777">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6800">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6824">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6835">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6855">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_6874">2 Demographic Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_6876">2.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_6915">2.1.1 Archetyping</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6918">2.1.2 Names and Addresses</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6923">2.1.3 Party Identification</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6929">2.1.4 Party Relationships</A>
+</LI>
+<LI>
+<A href="#LinkTarget_6959">2.1.5 Versioning Semantics</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_6962">2.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_6963">2.2.1 PARTY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7041">2.2.2 PARTY_IDENTITY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7099">2.2.3 CONTACT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7134">2.2.4 ADDRESS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7197">2.2.5 ACTOR Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7250">2.2.6 PERSON Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7282">2.2.7 ORGANISATION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7327">2.2.8 GROUP Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7350">2.2.9 AGENT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7378">2.2.10 ROLE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7433">2.2.11 CAPABILITY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7463">2.2.12 PARTY_RELATIONSHIP Class</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_7530">2.3 Instance Examples</A>
+<UL>
+<LI>
+<A href="#LinkTarget_7533">2.3.1 Parties</A>
+<UL>
+<LI>
+<A href="#LinkTarget_7535">2.3.1.1 Person</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7644">2.3.1.2 Clinician</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7645">2.3.1.3 Health Care Facility</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7646">2.3.1.4 Group</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_7782">2.3.2 Relationships</A>
+<UL>
+<LI>
+<A href="#LinkTarget_7784">2.3.2.1 Familial Relationship</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7785">2.3.2.2 Employment Relationship</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7786">2.3.2.3 Patient</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_7861">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_7863">A.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7882">A.2 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7892">A.3 GEHR Australia</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7908">A.4 OMG</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7927">A.5 HL7</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7933">A.6 Software Engineering</A>
+</LI>
+<LI>
+<A href="#LinkTarget_7941">A.7 Resources</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=336 height=135 style="display:block; float:none" src="images/demographic_im_img_0.png">
+<IMG width=144 height=127 style="display:block; float:none; text-align:left; margin-bottom:33px" src="images/demographic_im_img_1.png">
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>EHR Reference Model </SPAN
+></P>
+<DIV class="Part"
+><H1>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:24pt; color:#000000"
+>Demographic Information Mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:24pt; color:#000000"
+>l 
+</SPAN
+></H1>
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>b </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_6470">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</TD>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>25 </SPAN
+></SPAN>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>23 Feb 2006 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, reference model, demographics, openehr </SPAN
+></P>
+<TABLE style="margin-bottom:88px">
+<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="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Demographic </SPAN
+></TD>
+<TD style="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:normal; color:#ACACAC"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; 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', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; 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="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="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="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 class="Sect">
+<H5>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:21px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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_6337">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+</P>
+<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_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_6408">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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: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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_6402">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_6337">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_6457" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:38px">
+<CAPTION >
+<P style="margin-bottom:38px; line-height:15px">
+<A href="#LinkTarget_6384">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_6402">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.0.1 </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'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct Release 1.0 typographical errors. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>23 Feb 2006 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; 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:354px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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:105px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000189</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. New invariant in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000190</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000194</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct anomalies with </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>uid </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000161</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support distributed versioning. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard T Beale H Frankel T Beale T Beale H Frankel </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Jan 2006 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.7 </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'; font-size:9.9pt; color:#000000"
+>CR-000133</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove details /= Void invariant from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>R Chen </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>12 Mar 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.6 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000048</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Pre-release review of documents. Corrected </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to be </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTOR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>languages </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>List</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> not a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>Set</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Feb 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.5 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000024</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Revert </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and rename as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, T Beale T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jan 2005 </SPAN
+></TD>
+</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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.4 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR documents. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>04 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename key classes, according to CEN ENV 13606. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000035</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Clarify circular relationships between </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY_REL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>14 Aug 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000003</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONABLE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>classes. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.4 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Minor corrections to invariants. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Review by H Frankel, MCA. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Corrections to diagrams and class texts. Improved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY_RELATIONSHIP</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> semantics. Added Patient instance example. Made </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>time_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attributes optional. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>13 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Corrections to diagrams and class texts. Inheritance changed to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>for most key classes. Some instance examples added. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>General modifications, addition of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CAPABILITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Oct 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:336px; margin-left:478px">
+<A href="#LinkTarget_6337">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:29px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:11px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CONTACT_DESCRIPTOR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CONTACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CON-TACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>role</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY_ROLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ROLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CON</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>address</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>addresses</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SPATIAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Introduced </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTOR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Sep 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Created from EHR RM. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>28 Aug 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_6586" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:695px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including The Uni</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>versity College, London; The Cooperative Research Centres Program through the Department of the Prime Minister and Cabinet of the Commonwealth Government of Australia; Ocean Informatics, Australia. </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_6402">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+</P>
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_6603" style="text-align:justify; margin-bottom:0px; margin-left:257px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:5px; margin-left:48px; line-height:19px">
+<A href="#LinkTarget_6408">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Copyright </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Notice .......................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+><A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Amendment Record ....................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+<A href="#LinkTarget_6586">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Acknowledgements .....................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+<A href="#LinkTarget_6603">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Table of Contents ........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_6775">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction.............................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6777">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6800">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6824">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status......................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6835">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ............................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<A href="#LinkTarget_6855">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_6874">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Demographic Package ............................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6876">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Overview................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6915">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.1 Archetyping ...................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6918">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.2 Names and Addresses ....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6923">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.3 Party Identification ........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6929">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.4 Party Relationships ........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6959">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.5 Versioning Semantics.....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6962">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Class Definitions..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_6963">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.1 PARTY Class .................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7041">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.2 PARTY_IDENTITY Class.............................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7099">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.3 CONTACT Class ...........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7134">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.4 ADDRESS Class............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7197">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.5 ACTOR Class ................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7250">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.6 PERSON Class ..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7282">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.7 ORGANISATION Class ................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7327">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.8 GROUP Class ................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7350">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.9 AGENT Class ................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7378">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.10 ROLE Class ...................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7433">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.11 CAPABILITY Class ......................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7463">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.12 PARTY_RELATIONSHIP Class ...................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7530">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.3 Instance Examples ...............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7533">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.1 Parties.............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7535">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.1.1 Person ..........................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7644">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.1.2 Clinician ......................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7645">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.1.3 Health Care Facility ....................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7646">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.1.4 Group ..........................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7782">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.2 Relationships..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7784">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.2.1 Familial Relationship ..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7785">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.2.2 Employment Relationship ...........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:5px">
+<A href="#LinkTarget_7786">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3.2.3 Patient ..........................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify">
+<A href="#LinkTarget_7861">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References ............................................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7863">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 General.................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7882">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.2 CEN .....................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7892">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.3 GEHR Australia...................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7908">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.4 OMG ....................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; line-height:19px">
+<A href="#LinkTarget_7927">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.5 HL7 ......................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:29px; line-height:19px">
+<A href="#LinkTarget_7933">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.6 Software Engineering ..........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:296px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+</P>
+<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_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:923px; margin-left:72px">
+<A href="#LinkTarget_7941">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Resources............................................................................................. 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </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_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_6775">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6777">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the architecture of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Demographic Information Model. The semantics are drawn from previous work in GEHR, existing models in CEN 13606 and the HL7v3 RIM, and other work done in Australia. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical informaticians and clinicians intersted in health information; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:21px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health data managers. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6800">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:5px; margin-right:306px; text-indent:36px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common Information Model Other documents describing related models, include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:21px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Demographic Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6824">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/demographic_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/demographic_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/demographic_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/demographic_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/demographic_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/demographic_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6835">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:75px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tent. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6855">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:758px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is deter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_6874">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Demographic Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6876">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<A href="#LinkTarget_6889">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The demographic model illustrated in FIGURE 1 is a generalised model of the facts one might expect </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>to see in a demographic server. The purpose of the model is as a specification of a demographic serv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ice, either standalone, or a “wrapper” service for an existing system such as a patient master index (PMI). In the latter situation, it is used to add the required </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR semantics, particularly version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing, to an existing service. </SPAN
+></P>
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=633 height=488 style="display:block; float:none; margin-bottom:0px" src="images/demographic_im_img_2.png">
+<P style="text-align:justify; margin-bottom:-13px; margin-left:368px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>repository</SPAN
+></P>
+<P style="text-align:justify; margin-left:491px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>VERSIONED_OBJECT&lt;T&gt; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-9px; margin-left:350px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>(“demographics”) </SPAN
+></P>
+<P style="text-align:justify; margin-left:486px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>(rm.common.change_control) </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.demographic Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The general design is based on the scheme of party and accountability described by Fowler </SPAN
+><A href="#LinkTarget_7938">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[19]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and is influenced by clinical adaptations including work done in Australia </SPAN
+><A href="#LinkTarget_7892">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[11]</SPAN
+></A>
+<A href="#LinkTarget_7927">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and the HL7v3 RIM [15] </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(itself influenced by the Fowler models). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the main design criteria of the model is that it expresses attributes and relationships of demo</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>graphic entities which exist </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>regardless</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of particular clinical involvements or participations in particu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lar events. Participations are meaningful only within the context of the health record or other relevant model where they record context-specific relationships between demographic entities and events in the real world. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another criterion is that instances of the classes in the model must be serialisable into an EHR Extract in an unambgiuous way. This requires that each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> be a self-contained hierarchy of data, in the same way as distinct </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the EHR model are distinct hierarchies in an Extract. In order to ensure this condition, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_RELATIONSHIPs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> must be implemented correctly, so as to pre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>vent endless traversal of all </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><A href="#LinkTarget_6929">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects through their relationships, when serialising. See Party </SPAN
+></A>
+<A href="#LinkTarget_6929">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationships</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> below for details. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6915" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Archetyping </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model is designed to be used with archetypes, hence the generic nature of all entities. Every class containing an attribute of the form </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a completely archetypable structure. As a result, archetypes can be defined for concepts such as particular kinds of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PERSON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORGANISATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; for actual </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ROLEs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> such as “health care practitioner”, and for party identities and addresses. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6918" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Names and Addresses </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Classes have been included for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADDRESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, even though they contain only a link to details, in the form of the generic </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. This is not strictly necessary - it could have been done simply using appropriately named attributes in the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - but is done to provide a place to add specific semantics in future releases of the model. It is also expected to make software development easier, since it provides explicit classes to which behaviour and other implementation attributes can be added. Lastly, it allows the notions of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADDRESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to be explicitly used in archetype-authoring tools. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, linked to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> by the attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identities</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are intended to express the names of people, organisations, and other actors - that is names which are “owned” by the party, e.g. self-declared (in the case of institutions and companies) or by virtue of social relations (names given by parents, tribes etc). Identifiers of Parties given by other organisations, or the state are not repre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sented in this way, and should be recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure instead (see below). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6923" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Party Identification </SPAN
+></H3>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers of Parties given by organisations or the state are treated as any other attribute of a Party, </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recorded as part of the data in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structure. Identifiers of Party instances in the sys</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tem are provided in the same way as identifiers of Compositions in the EHR: via the uid attribute (type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) of the containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. These identifiers are used in all cross-ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erences between Parties, and between Parties and Perty_relationships. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6929" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Party Relationships </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationships between parties in the real world may be expressed using </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_RELATIONSHIP </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>objects, as illustrated in </SPAN
+><A href="#LinkTarget_6938">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 2. </SPAN
+></A>
+</P>
+<IMG width=72 height=41 style="display:block; float:none; text-align:left; margin-bottom:-22px" src="images/demographic_im_img_3.png">
+<IMG width=15 height=9 style="display:block; float:none; margin-bottom:9px; margin-right:149px; margin-left:256px" src="images/demographic_im_img_4.png">
+<P style="text-align:; margin-right:50px; margin-left:258px">
+<IMG width=105 height=8 style="display:block; float:left; text-align:left; margin-bottom:0px; margin-right:50px; margin-left:258px" src="images/demographic_im_img_5.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>reverse_relationships </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>relationships </SPAN
+></P>
+<IMG width=72 height=40 style="display:block; float:none; text-align:right; margin-bottom:6px; margin-left:349px" src="images/demographic_im_img_6.png">
+<P style="margin-bottom:47px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>General Relationship Model </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationships are considered </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>directional</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, hence the use of the attribute names </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>source</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, how</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ever, these names are otherwise neutral, and give no indication as to the meaning of the relationships, such as which party is responsible and which accountable (for comparison, see the demographic mod</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>els of Fowler </SPAN
+><A href="#LinkTarget_7938">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[19]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). Accordingly, each Party involved in a relationship includes it in its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>relationships </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>list, if it is at the source end, or in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reverse_relationships</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> list, if at the target end. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:5px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The usual way to determine the directionality of a relationship between two Parties is usually by which Party’s actions caused the relationship to come into being. For example, a relationship repre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>senting the concept “patient”, between a health consumer and a health care organisation would have the consumer as source and the organisation as target. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_RELATIONSHIP</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s are stored as part of the data of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> designated as the source. This means that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>relationships</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is by value, while </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reverse_relationships</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is by references, as are </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_RELATIONSHIP</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>source</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The actual kind of reference is via the use of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_IDs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to denote the Version container of a Party, rather than </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_IDs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which would denote particular versions. Logically this implements the semantic that such relationships in the real world are between </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>continuants</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. the real Parties, not just one of their version instances in a demographic system. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6959" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Versioning Semantics </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and its descendants </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ROLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are all potentially versioned in a demographic system. A Version of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> includes all the compositional parts, such as identities, contacts, Party relatoinships of which it is the source. Every Party is stored in its own Version container. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_6962" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Definitions </SPAN
+></H3>
+<P ID="LinkTarget_6963" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY Class </SPAN
+></P>
+<TABLE style="margin-bottom:31px">
+<CAPTION  style="margin-bottom:31px">
+<P style="margin-bottom:31px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ancestor of all party types, including real world entities and their roles. A party is any entity which can participate in an activity. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute inherited from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used to indicate the actual type of party (note that the actual names, i.e. identities of parties are indicated in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identities</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, not the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare agent </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Entity </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (redefined) </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of this Party. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>identities</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Set&lt;PARTY_IDENTITY&gt; </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identities used by the party to identify itself, such as legal name, stage names, aliases, nicknames and so on. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>contacts</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Set&lt;CONTACT&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Contacts for this party. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>relationships</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Set&lt;PARTY_RELATIONSHIP&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationships in which this role takes part as source. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>reverse_relationships</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Set&lt;LOCATABLE_REF&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationships in which this role takes part as target. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All other details for this party. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type of party, such as “PERSON”, “ORGANISATION”, etc. Role name, e.g. “general practitioner”, “nurse”, “private citi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>zen”. Taken from inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:232px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:232px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type = name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Identities_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: identities /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> identities.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contacts_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: contacts /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contacts.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Relationships_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: relationships /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>relation-ships.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> relationships.for_all(source = Current) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Reverse_relationships_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: reverse_relationships /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reverse_relationships.empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> reverse_relationships.for_all(item | reposi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tory(“demographics”).all_party_relationships.has_object(item) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> reposi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tory(“demographics”).all_party_relationships.object(item).target = Current)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_archetype_root</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_archetype_root </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>No_parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: parent = Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7041" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_IDENTITY Class </SPAN
+></P>
+<TABLE style="margin-bottom:43px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_IDENTITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An identity “owned” by a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, such as a person name or company name, and which is used by the party to identify itself. Actual structure is archetyped. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Person Name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(data type). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Person Name (PN)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (data type). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The value of the indentity. This will often taken the form of a parsable string or a small structure of strings. </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_IDENTITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:231px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Purpose of identity, e.g. “legal”, “sta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>gename”, “nickname”, “tribal name”, “trad</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing name”. Taken from value of inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: String </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identity in the form of a single string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:532px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Purpose_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: purpose = name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: details /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7099" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CONTACT Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CONTACT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of a means of contact of a party. Actual structure is archetyped. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_validity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_INTERVAL &lt;DV_DATE&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Valid time interval for this contact descrip</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tor. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>addresses</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List&lt;ADDRESS&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A set of address alternatives for this purpose and time validity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Purpose for which this contact is used, e.g. “mail”, “daytime phone”, etc. Taken from value of inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:532px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Purpose_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: purpose = name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Addresses_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: addresses /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> addresses.empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7134" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ADDRESS Class </SPAN
+></P>
+<TABLE style="margin-bottom:36px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ADDRESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Address of contact, which may be electronic or geographic. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Address </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(data type) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Address (AD)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (data type) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="width:213px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH colspan=2 style="vertical-align:middle; width:319px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ADDRESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:213px; height:33px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="vertical-align:top; width:18px; height:33px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="width:302px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:213px; height:85px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:18px; height:85px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:302px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The details of the address, in the form of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This may take the form of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_SINGLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, whose data item is a parsable string or a list or tree of many parts. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:213px; height:35px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="vertical-align:top; width:18px; height:35px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:213px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:18px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type of address, e.g. “electronic”, “locality”. Taken from value of inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:213px; height:35px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: String </SPAN
+></TD>
+<TD style="vertical-align:top; width:18px; height:35px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Address in the form of a single string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD style="width:213px; height:46px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type = name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: details /= Void </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:319px; height:46px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7197" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ACTOR Class </SPAN
+></P>
+<TABLE style="margin-bottom:60px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ACTOR (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ancestor of all real-world types, including people and organisations. An actor is any real-world entity capable of taking on a role. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare party </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Entity </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>roles</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Set&lt;PARTY_REF&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifiers of the Version container for each Role played by this party. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>languages</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List&lt;DV_TEXT&gt; </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Languages which can be used to communi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cate with this actor, in preferred order of use (if known, else order irrelevant). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_legal_identity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: Boolean </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if one there is an identity with purpose “legal identity” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Roles_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: roles /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> roles.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Languages_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: languages /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> languages.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Legal_identity_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: has_legal_identity </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_7250" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PERSON Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PERSON </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic description of persons. Provides a dedicated type to which Person arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>types can be targeted. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare person </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_PERSON </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Person </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:302px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7282" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ORGANISATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:176px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ORGANISATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic description of organisations. An organisation is a legally constituted body whose existence (in general) outlives the existence of parties considered to be part of it. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare organisation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_HCF </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORGANIZATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:302px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_7327" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>GROUP Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GROUP </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A group is a real world group of parties which is created by another party, usu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ally an organisation, for some specific purpose. A typical clinical example is that of the specialist care team, e.g. “cardiology team”. The members of the group usually work together. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:302px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7350" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>AGENT Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>AGENT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic concept of any kind of agent, including devices, software systems, but not humans or organisations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare software</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare device </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DEVICE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="text-align:center; vertical-align:top; width:302px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7378" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ROLE Class </SPAN
+></P>
+<TABLE style="margin-bottom:54px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ROLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic description of a role performed by an actor. The role corresponds to a competency of the party. Roles are used to define the responsibilities undertaken by a party for a purpose. Roles should have credentials qualifying the performer to perform the role. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Roles correspond to concepts like “general practitioner”, “nurse” and so on. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>healthcare agent in context </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ROLE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ROLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>capabilities</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List &lt;CAPABILITY&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The capabilities of this role. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_validity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_INTERVAL &lt;DV_DATE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Valid time interval for this role. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>performer</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: PARTY_REF </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to Version container of Actor playing the role. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:532px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Capabilities_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: capabilities /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> capabilities.empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Performer_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: performer /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7433" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.11 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CAPABILITY Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CAPABILITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Capability of a role, such as “ehr modifier”, “health care provider”. Capability should be backed up by credentials. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>credentials</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The qualifications of the performer of the role for this capability. This might include professional qualifications and official iden</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tifications such as provider numbers etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_validity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_INTERVAL &lt;DV_DATE&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Valid time interval for the credentials of this capability. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Credentials_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: credentials /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_7463" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_RELATIONSHIP Class </SPAN
+></P>
+<TABLE style="margin-bottom:42px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_RELATIONSHIP </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic description of a relationship between parties. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RELATIONSHIP_LINK </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:14px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_RELATIONSHIP </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:304px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (redefined) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:54px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:304px; height:54px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of this Party. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:304px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The detailed description of the relationship </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_validity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_INTERVAL &lt;DV_DATE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:304px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Valid time interval for this relationship. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>source</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: PARTY_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:304px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Source of relationship. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: PARTY_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:304px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Target of relationship. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:304px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="width:304px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type of relationship, such as “employment”, “authority”, “health provision” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type = name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Source_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: source /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> source.relationships.has(Current) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Target_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: target /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target.reverse_relationships.has(Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent) </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7530">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Instance Examples </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the following instance examples, the values of the attributes </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>uid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>source</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>target</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>reverse_relationships</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are not meant to be taken as literally valid </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_IDs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - for the purposes of clarity, simple integers have been used. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7533" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Parties </SPAN
+></H3>
+<DIV class="Sect">
+<H4 ID="LinkTarget_7535" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Person </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:230px; line-height:19px">
+<A href="#LinkTarget_7642">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a possible set of instances for a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PERSON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, with home and work contact informa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion. There are separate archetypes for the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PERSON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADDRESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:66px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the following figure, “meaning” is the meaning from the value of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, functionally derived from the archetype local ontology. </SPAN
+></P>
+<IMG width=16 height=9 style="display:block; float:none; margin-bottom:44px" src="images/demographic_im_img_7.png">
+<IMG width=1 height=51 style="display:block; float:none; text-align:right; margin-bottom:25px" src="images/demographic_im_img_8.png">
+<IMG width=31 height=52 style="display:block; float:none; margin-bottom:47px" src="images/demographic_im_img_9.png">
+<DIV class="Sect">
+<H5 style="margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_IDENTIT<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>Y </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-bottom:66px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “per</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>son name” name = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>“legal name” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>CONTAC<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></H5>
+<P style="line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>home</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="margin-bottom:0px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>12/jan/1998 - </SPAN
+></H5>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:0px; margin-left:31px">
+<IMG width=16 height=51 style="display:block; float:left; text-align:left; margin-bottom:0px; margin-left:31px" src="images/demographic_im_img_10.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-bottom:-9px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>items </SPAN
+></P>
+<P style="text-align:left; margin-left:31px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>first names</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “Robert James” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>LIST_<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>S </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “items” name = “items” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-bottom:47px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>titles</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “Dr (med)” </SPAN
+></P>
+<IMG width=157 height=435 style="display:block; float:none; text-align:left; margin-bottom:44px" src="images/demographic_im_img_11.png">
+<IMG width=16 height=9 style="display:block; float:none; text-align:left; margin-bottom:47px" src="images/demographic_im_img_12.png">
+<P style="text-align:justify; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>addresses </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-13px; margin-right:42px; text-indent:117px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>LIST_<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>S </SPAN
+>ADDRES<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>S </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-right:28px; line-height:15px">
+<IMG width=16 height=9 style="display:block; float:left; text-align:left; margin-bottom:47px; margin-right:28px" src="images/demographic_im_img_13.png">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = com address” </SPAN
+></P>
+<P style="text-align:justify; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “tele</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-13px; margin-right:42px; text-indent:117px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>“items” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>phone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></P>
+<P style="text-align:justify; margin-left:117px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “phone” </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>items</SPAN
+><IMG width=16 height=51 style="vertical-align:text-bottom; text-align:left; margin-bottom:0px" src="images/demographic_im_img_14.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-left:30px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>area code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “08” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px; margin-left:127px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ADDRES<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>S </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-bottom:24px; margin-left:96px; line-height:15px">
+<IMG width=31 height=33 style="display:block; float:left; text-align:left; margin-bottom:24px; margin-left:96px" src="images/demographic_im_img_15.png">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>apartment address</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” name = “home address” </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>CONTAC<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-right:122px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>work</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:47px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>12/jan/1998 - </SPAN
+></H5>
+<IMG width=16 height=51 style="display:block; float:none; text-align:right; margin-bottom:47px" src="images/demographic_im_img_16.png">
+<P style="text-align:left; margin-bottom:3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-bottom:33px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “1234 4321” </SPAN
+></P>
+<P style="text-align:left; margin-left:90px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>items</SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>LIST_<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>S </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; margin-bottom:47px; margin-right:34px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “items” name = “address” </SPAN
+></P>
+<IMG width=16 height=51 style="display:block; float:none; text-align:right; margin-bottom:47px; margin-left:104px" src="images/demographic_im_img_17.png">
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:47px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “5a” </SPAN
+></P>
+<IMG width=15 height=9 style="display:block; float:none; margin-bottom:41px" src="images/demographic_im_img_18.png">
+<IMG width=31 height=120 style="display:block; float:none; text-align:right; margin-bottom:47px" src="images/demographic_im_img_19.png">
+<P style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>street nr</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “38” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ELEMEN<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>T </SPAN
+></SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>street name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” value = “elm” </SPAN
+></P>
+<P style="line-height:31px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Person Demographic Information </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_7644" style="text-align:justify; margin-bottom:0px; margin-right:510px; line-height:31px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Clinician Credentials </SPAN
+></H4>
+<P ID="LinkTarget_7645" style="text-align:justify; line-height:31px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Health Care Facility </SPAN
+></P>
+<P ID="LinkTarget_7646" style="text-align:justify; line-height:31px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Group </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:198px; line-height:19px">
+<A href="#LinkTarget_7768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 4</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the demographic information for a cadiac surgery team in a hospital. The group includes a head surgeon, anaesthetist, assistant surgeon, and presumably others (not shown). Each of </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>these members of the team have an employment relationship with the hospital (shown only for one surgeon, in the interests of clarity). </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<P style="text-align:; margin-bottom:15px; margin-left:157px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ROL<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>E </SPAN
+></SPAN
+></P>
+<P style="margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identies </SPAN
+></P>
+<IMG width=16 height=8 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_20.png">
+<P style="text-align:; margin-bottom:15px; margin-left:294px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>roles</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 90 </SPAN
+></P>
+<P style="text-align:; margin-bottom:5px; margin-right:124px; margin-left:158px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 11 </SPAN
+></P>
+<IMG width=263 height=264 style="display:block; float:none; text-align:left; margin-bottom:11px" src="images/demographic_im_img_21.png">
+</DIV>
+<DIV class="Sect">
+<H5 style="margin-bottom:5px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ROL<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>E </SPAN
+></SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></SPAN
+></H5>
+<IMG width=15 height=9 style="display:block; float:none; text-align:right; margin-bottom:11px" src="images/demographic_im_img_22.png">
+<P style="text-align:; margin-bottom:15px; margin-left:298px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>roles </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-right:124px; margin-left:158px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 13 </SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 92 </SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “group role” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>head surgeon</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 04/jun/2001 - sep/2002 </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-right:61px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 04 target = 11 </SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “specialist” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>cardiac surgeon</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 27/may/2001 - dec/2005 </SPAN
+></SPAN
+></P>
+<IMG width=16 height=9 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_23.png">
+<P style="text-align:left; margin-bottom:11px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>reverse_relns = {90, 94} </SPAN
+></P>
+<IMG width=15 height=8 style="display:block; float:none; margin-bottom:8px" src="images/demographic_im_img_24.png">
+<IMG width=117 height=65 style="display:block; float:none; text-align:right; margin-bottom:11px" src="images/demographic_im_img_25.png">
+<P style="margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>contacts </SPAN
+></P>
+<IMG width=16 height=9 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_26.png">
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<P style="text-align:; margin-bottom:-9px; margin-left:157px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ROL<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>E </SPAN
+></SPAN
+></P>
+<IMG width=16 height=109 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_27.png">
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identies </SPAN
+></P>
+<IMG width=147 height=67 style="display:block; float:none; text-align:right; margin-bottom:11px" src="images/demographic_im_img_28.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>roles</SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 12 </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>contacts </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “specialist” </SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>anaesthetist</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 16/mar/1998 - sep/2002 </SPAN
+></P>
+<P style="text-align:left; margin-right:61px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 04 target = 12 </SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>anaesthetist</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 16/mar/1998 - dec/2005 </SPAN
+></SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>reverse_relns = {91, 95} </SPAN
+></P>
+<P>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identies </SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “group role” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>asst. surgeon</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 5/dec/1999 - sep/2002 </SPAN
+></P>
+<P style="text-align:left; margin-right:61px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 04 target = 13 </SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “specialist” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>cardiac surgeon</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 27/may/2001 - dec/2005 </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>reverse_relns = {92, 96} </SPAN
+></P>
+<IMG width=15 height=9 style="display:block; float:none; margin-bottom:8px" src="images/demographic_im_img_29.png">
+<IMG width=117 height=65 style="display:block; float:none; text-align:right; margin-bottom:11px" src="images/demographic_im_img_30.png">
+<P style="margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>contacts </SPAN
+></P>
+<IMG width=16 height=9 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_31.png">
+</DIV>
+<DIV class="Sect">
+<H5 style="margin-bottom:-9px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<IMG width=117 height=140 style="display:block; float:none; margin-bottom:11px" src="images/demographic_im_img_32.png">
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<P style="text-align:; margin-bottom:15px; margin-left:157px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>rel’ships </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>rel’ships </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 94</SPAN
+></P>
+<P style="text-align:left; margin-left:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 93 </SPAN
+></P>
+<IMG width=15 height=9 style="display:block; float:none; margin-bottom:-7px" src="images/demographic_im_img_33.png">
+<IMG width=15 height=9 style="display:block; float:none; text-align:left; margin-bottom:11px" src="images/demographic_im_img_34.png">
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “employment” </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>cardiologist</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>time_validity = 27/may/2001 - </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>dec/2005 </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>target = 11 </SPAN
+></P>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 05 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “cardiology team” </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>cardiac team #1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></H5>
+<P>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>time_validity = 1/jan/1992 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:left; margin-left:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>sep/2002 </SPAN
+></P>
+<P style="text-align:left; margin-left:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 05 </SPAN
+></P>
+<P style="text-align:left; margin-left:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>target = 04 </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 95 </SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “employment” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>senior anaesthetist</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 15/feb/2003 - dec/2005 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:11px; margin-right:88px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>target = 12 source = 05 </SPAN
+></P>
+<IMG width=21 height=8 style="display:block; float:none; text-align:left; margin-bottom:72px" src="images/demographic_im_img_35.png">
+<IMG width=176 height=124 style="display:block; float:none; text-align:right; margin-bottom:8px" src="images/demographic_im_img_36.png">
+<P style="margin-bottom:33px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Group Demographics </SPAN
+></P>
+<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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Package Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7782" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Relationships </SPAN
+></H3>
+<DIV class="Sect">
+<H4 ID="LinkTarget_7784" style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Familial Relationship </SPAN
+></H4>
+<P ID="LinkTarget_7785" style="text-align:left; margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Employment Relationship </SPAN
+></P>
+<P ID="LinkTarget_7786" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>2.3.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Patient </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; line-height:19px">
+<A href="#LinkTarget_7807">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> shows a simple way of representing the patient relationship between a person and a health care organisation. </SPAN
+></P>
+<P style="text-align:left; margin-left:545px; line-height:14px">
+<IMG width=16 height=124 style="display:block; float:left; text-align:left; margin-bottom:22px; margin-left:545px" src="images/demographic_im_img_37.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identies </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-9px; margin-left:252px">
+<IMG width=147 height=96 style="display:block; float:left; text-align:left; margin-bottom:-9px; margin-left:252px" src="images/demographic_im_img_38.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-left:207px; text-indent:-161px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identie</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>rel’n</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; margin-left:252px; line-height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 90 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-9px; margin-left:397px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>rel’ns </SPAN
+></P>
+<P style="text-align:left; margin-left:545px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+><IMG width=16 height=9 style="display:block; float:left; text-align:left; margin-bottom:0px; margin-left:545px" src="images/demographic_im_img_39.png">
+contacts </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>contacts </SPAN
+></P>
+<P style="text-align:left; margin-right:277px; margin-left:252px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “patient” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>patient</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 1/jan/1992 - 20/jan/1992 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:24px; margin-right:340px; margin-left:252px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 01 target = 02 </SPAN
+></P>
+<IMG width=145 height=109 style="display:block; float:none; text-align:right; margin-bottom:21px; margin-right:74px; margin-left:428px" src="images/demographic_im_img_40.png">
+<P style="text-align:justify; margin-bottom:15px; margin-left:163px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Simple Patient Relationship </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:24px; line-height:19px">
+<A href="#LinkTarget_7835">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 6</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> shows the same logical relationship, but with both Parties acting through Roles, represent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing their status as healthcare consumer and healthcare provider respectively. Each of these Roles has associated credentials which document its official nature within the healthcare system. </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>CAPABILIT<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>Y </SPAN
+></SPAN
+></H5>
+<P style="text-align:justify; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>credentials = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>medicare nr: 999 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>time_validity = 16/mar/1998 - </SPAN
+></P>
+<P style="text-align:left; margin-bottom:24px; margin-left:51px; line-height:28px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identities contacts </SPAN
+></P>
+<IMG width=147 height=80 style="display:block; float:none; margin-bottom:19px; margin-left:18px" src="images/demographic_im_img_41.png">
+<IMG width=215 height=123 style="display:block; float:none; text-align:right; margin-bottom:16px" src="images/demographic_im_img_42.png">
+<P style="text-align:; margin-right:102px; margin-left:85px; line-height:15px">
+<IMG width=147 height=95 style="display:block; float:left; text-align:left; margin-bottom:22px; margin-right:102px; margin-left:85px" src="images/demographic_im_img_43.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>rel’ns roles contacts </SPAN
+></P>
+<P style="text-align:left; margin-bottom:21px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>identities </SPAN
+></P>
+<P style="text-align:; margin-bottom:21px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>capabilities </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>CAPABILIT</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>Y </SPAN
+></H5>
+<P style="text-align:justify; margin-bottom:24px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>credentials = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>provider nr: 111 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>time_validity = 1/jan/1980 - </SPAN
+></P>
+<IMG width=204 height=195 style="display:block; float:none; text-align:right; margin-bottom:22px; margin-left:179px" src="images/demographic_im_img_44.png">
+</DIV>
+<DIV class="Sect">
+<H5 style="text-align:left; margin-bottom:5px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>PARTY_REL’SHI<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt"
+>P </SPAN
+></SPAN
+></H5>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#FF0000"
+>uid = 90 </SPAN
+></P>
+<P style="text-align:left; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>meaning = “patient” name = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>patient</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” time_validity = 1/jan/1992 - 20/jan/1992 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:168px; margin-right:79px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>source = 01 target = 02 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:91px; margin-left:95px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Patient Relationship with Roles and Credentials </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Demographic Package </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </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_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 ID="LinkTarget_7861" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7863" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>et al</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design Principles for the EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/openEHR</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Gray J, Reuter A. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Transaction Processing Concepts and Techniques</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Morgan Kaufmann 1993. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sowa J F. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Knowledge Representation: Logical, philosophical and Computational Foundations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2000, Brooks/Cole, California. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schloeffel P. (Editor). Requirements for an Electronic Health Record Reference Architecture. International Standards Organisation, Australia; Feb 2002; ISO TC 215/SC N; ISO/WD 18308. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sottile P.A., Ferrara F.M., Grimson W., Kalra D., and Scherrer J.R. The holistic healthcare in</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>formation system. Toward an Electronic Health Record Europe 1999. Nov 1999; 259-266. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7882" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-2 - </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 2: Domain term list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-3 - </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 3: Distribution rules</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-4 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7892" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>GEHR Australia </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Northern Territory Health Demographic Model</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-right:112px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project Australia, GPCG Trial</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org/gpcg/ehra.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.ge</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.gehr.org/gpcg/ehra.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>hr.org/gpcg/ehra.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Technical Requirements</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.gehr.org/technical/require</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ments/gehr_requirements.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7908">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>OMG </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:98px; margin-right:155px; margin-left:48px; text-indent:-47px; line-height:24px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Person Identification Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 2</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5 	</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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>References </SPAN
+><A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7927" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>HL7 </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:21px; margin-left:48px; text-indent:-47px; line-height:26px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HL7 version 3 2nd Ballot specification. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.hl7.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.hl7.org</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7933" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Software Engineering </SPAN
+></H3>
+<P style="text-align:; margin-bottom:11px; margin-right:287px; margin-left:80px; text-indent:-47px; line-height:26px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>16 Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 2nd Ed. Prentice Hall 1997 17 Walden K, Nerson J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Seamless Object-oriented Software Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Prentice Hall 1994 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:5px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Gamma E, Helm R, Johnson R, Vlissides J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design patterns of Reusable Object-oriented Soft</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ware </SPAN
+></P>
+<P style="text-align:left; margin-bottom:5px; text-indent:48px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison-Wesley 1995 </SPAN
+></P>
+<P style="text-align:; margin-bottom:21px; margin-right:283px; margin-left:77px; text-indent:-47px; line-height:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>19 Fowler M. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Analysis Patterns: Reusable Object Models </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley 1997 20 Fowler M, Scott K. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UML Distilled (2nd Ed.) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley Longman 2000 21 Booch G, Rumbaugh J, Jacobsen I. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Unified Modelling Language User Guide</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Addison es-ley 1999. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_7941" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Resources </SPAN
+></H3>
+<P style="text-align:left; margin-left:48px; text-indent:-47px; line-height:26px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arden Syntax. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.cpmc.columbia.edu/arden/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.cpmc.columbia.edu/arden/ </SPAN
+></A>
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:-9px; margin-right:35px; line-height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>23 Asbru / The Asgaard Project. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://smi-web.stanford.edu/projects/asgaard/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://smi-web.stanford.edu/projects/asgaard/ </SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>24 Digital Imaging ad Communications in Medicine (DICOM). </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://medical.nema.org/dicom.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://medical.nema.org/di</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+</SPAN
+></P>
+<P style="text-align:left; text-indent:48px; line-height:29px">
+<SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://medical.nema.org/dicom.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>com.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 25 EON ref required 26 GLIF (Guideline Interchange Format). </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.glif.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.glif.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:206px; line-height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>27 IANA -</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.iana.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.iana.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>28 ProForma language for decision support. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.acl.icnet.uk/lab/proforma.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.acl.icnet.uk/lab/proforma.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>29 SynEx project, UCL. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/SynEx/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/SynEx/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></P>
+<P style="margin-bottom:15px; 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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 23 Feb 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+></A>
+<A href="#LinkTarget_7982">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 25 </SPAN
+></A>
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left">
+<A href="#LinkTarget_6335">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Demographic Information Model </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_6470">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0.1 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_6341">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_7981">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 25 </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_6473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>23 Feb 2006 </SPAN
+></A>
+</P>
+<P style="line-height:15px">
+<A href="#LinkTarget_6457">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
Index: /adl/trunk/pdf2html/rm/ehr_extract_im/ehr_extract_im.htm
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+<META
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+<UL>
+<LI>
+<A href="#LinkTarget_10812">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10859">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10950">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_10986">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11286">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11288">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11305">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11333">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11345">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11365">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11384">2 Requirements</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11386">2.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11392">2.2 Operational Environment</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11394">2.2.1 openEHR Environments</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11433">2.2.2 Non-openEHR Systems</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11446">2.2.3 Location of Information</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11470">2.2.4 Granularity of Extract Data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11475">2.2.5 Time</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11480">2.3 Use Cases</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11483">2.3.1 Single Patient, Ad Hoc Request</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11523">2.3.2 Multiple Patient, Batch Send</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11530">2.3.3 Previous Versions and Revision Histories</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11536">2.3.4 Systematic Update and Persisted Requests</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11552">2.3.5 Sharing of non-EHR openEHR Data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11571">2.3.6 Provision of data from non-openEHR Systems</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11578">2.3.7 Patient Access to Health Data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11616">2.3.8 Move of Entire Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11623">2.3.9 System Synchronisation</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11624">Mirroring</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11628">The Virtual EHR</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11636">2.3.10 Communication between non-openEHR EMR/EHR systems</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11653">2.4 Technical Requirements</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11655">2.4.1 Specification of Content</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11661">2.4.2 Specification of Versions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11682">2.4.3 Completeness of Data</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11685">References to Other Parts of the Same EHR</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11707">References to Other EHRs</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11710">References to Resources Outside the EHR</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11715">References to Demographic Entities</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11720">Archetypes and Terminology</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11742">2.4.4 Security and Privacy</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11755">2.4.5 Update Basis</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11785">3 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11786">3.1 Design Approach</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11853">3.2 Package Structure</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_11903">4 Extract.common Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11904">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11916">4.2 Design</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11917">4.2.1 Extract Request</A>
+</LI>
+<LI>
+<A href="#LinkTarget_11979">4.2.2 Content Specification</A>
+<UL>
+<LI>
+<A href="#LinkTarget_11982">The Manifest</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12005">Retrieval Criteria</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12032">Version Specification</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12037">4.2.3 Extract</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12056">4.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12057">4.3.1 EXTRACT_REQUEST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12087">4.3.2 EXTRACT_ACTION_REQUEST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12127">4.3.3 EXTRACT_SPEC Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12202">4.3.4 EXTRACT_MANIFEST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12222">4.3.5 EXTRACT_ENTITY_MANIFEST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12264">4.3.6 EXTRACT_ENTITY_IDENTIFIER Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12287">4.3.7 EXTRACT_VERSION_SPEC Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12336">4.3.8 EXTRACT_UPDATE_SPEC Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12387">4.3.9 EXTRACT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12446">4.3.10 EXTRACT_CHAPTER Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12476">4.3.11 EXTRACT_FOLDER Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12519">4.3.12 EXTRACT_ENTITY_CONTENT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12534">4.3.13 EXTRACT_ITEM Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12592">4.3.14 X_VERSIONED_OBJECT Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12663">5 Ehr_extract Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12664">5.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12676">5.2 Design</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12677">EHR Extract Request</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12699">EHR Extract</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12736">5.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12737">5.3.1 EHR_EXTRACT_CONTENT Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12797">6 Generic_extract Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12798">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12823">6.2 Design</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12824">Generic Extract Request</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12827">Generic Extract</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12830">6.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12831">6.3.1 GENERIC_EXTRACT_CONTENT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12853">6.3.2 GENERIC_EXTRACT_ITEM Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_12933">7 Synchronisation Extracts</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12934">7.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12946">7.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_12949">7.2.1 SYNC_EXTRACT_REQUEST Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_12984">7.2.2 SYNC_EXTRACT Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13011">7.2.3 SYNC_EXTRACT_SPEC Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13042">7.2.4 X_CONTRIBUTION Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13097">8 old stuff - to be rewritten</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13098">8.1 Design</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13142">9 The Message package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13143">9.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13146">9.2 Design</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13168">Integrity and Security</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13173">9.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13174">9.3.1 ADDRESSED_MESSAGE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13227">9.3.2 MESSAGE Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13305">10 Semantics of EHR extracts</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13306">10.1 Versioning Semantics</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13382">10.2 Creation Semantics</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_13448">11 Communication Scenarios</A>
+<UL>
+<LI>
+<A href="#LinkTarget_13449">11.1 Single Hop</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13451">11.2 Multiple Hop</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13453">11.3 Medico-legal Investigations</A>
+</LI>
+<LI>
+<A href="#LinkTarget_13455">11.4 Transfer of Entire EHR</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/ehr_extract_im_img_0.png">
+<IMG width=373 height=224 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/ehr_extract_im_img_1.png">
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width: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, H Frankel}</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:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_10872">
+<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"
+>2.0 </SPAN
+></A>
+</TD>
+<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"
+>57 </SPAN
+></SPAN>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_10876">
+<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"
+>20 Feb 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:30px; margin-left:23px">
+<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:left; 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, reference model, extract, openehr </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:118px">
+<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:bold; color:#000000"
+>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:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#96FF52; 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:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; background-color:#C9FF5C; 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:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>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:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="width:151px; height:23px; background-color:#C9FF5C; 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:#ADADAD"
+>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="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:#ADADAD"
+>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:#D6FBF9; 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:#ADADAD"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Part"
+><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:19px; 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="text-align:center; 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="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="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="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="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="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_10748">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+</P>
+<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_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_10812">
+<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: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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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_10806">
+<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:justify; margin-bottom:0px">
+<A href="#LinkTarget_10748">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </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_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_10859" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:14px">
+<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="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:85px; 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:85px; 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; vertical-align:top; width:105px; height:107px; 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"
+>2.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; 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-000189</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. New invariant in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#000000"
+>CR-000186</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Upgrade </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> to Release-1.0. Major redevelopment </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to termi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>nology in RM. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:107px; 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 T Beale R Chen </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; 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 Feb 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:85px; 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:85px; 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"
+>1.3.5 </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:bold; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; 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"
+>10 Dec 2004 </SPAN
+></TD>
+</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:85px; 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: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"
+>1.3.4 </SPAN
+></TD>
+<TD style="width:354px; 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-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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"
+>D Lloyd </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"
+>04 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; 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"
+>1.3.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; 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-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change key class names, according to CEN ENV 13606. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:75px; 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, D Kalra, D Lloyd, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; 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"
+>15 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; 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"
+>1.3.2 </SPAN
+></TD>
+<TD style="width:354px; 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-000003</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:bold; color:#000000"
+>CR-000004</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> (changes to versioning and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>). </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>MESSAGE_CONTENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> now inherits from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; 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, Z Tun </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"
+>18 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; 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"
+>1.3.1 </SPAN
+></TD>
+<TD style="width:354px; height:59px; 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"
+>Formally validated using ISE Eiffel 5.2.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> Revised structure of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>MESSAGE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>class to align better with CEN 13606-4. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>hca_authorising</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>, similar to 13606. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:59px; 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:59px; 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"
+>26 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; 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"
+>1.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; 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"
+>Changes post CEN WG meeting Rome Feb 2003.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> Added attestations to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>X_TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. Significantly improved documentation of requirements, comparison to CEN 13606-4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:75px; 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, S Heard, D Kalra, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; 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"
+>07 Feb 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"
+>1.2.2 </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"
+>Minor corrections to diagrams and class definitions. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; 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"
+>Z Tun </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"
+>08 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; 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"
+>1.2.1 </SPAN
+></TD>
+<TD style="width:354px; 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"
+>Added senders_reference to conform to CEN 13606-4:2000 section 7.4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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"
+>04 Jan 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"
+>1.2 </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"
+>Rewritten and restructured as two packages. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; 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"
+>07 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; 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"
+>1.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:59px; 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"
+>Moved part of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> into </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>MESSAGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow for multi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>level archetypable Folder structures. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:59px; 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, D Kalra, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; 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"
+>07 Oct 2002 </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"
+>1.0 </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"
+>Taken from EHR RM. </SPAN
+></TD>
+<TD style="text-align:center; width:85px; 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"
+>07 Oct 2002 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_10950" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<DIV class="Sect">
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Thanks to... </SPAN
+></P>
+</DIV>
+<P style="text-align:left; margin-bottom:57px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including The Uni</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"
+>versity College, London; Ocean Informatics, Australia; The Cooperative Research Centres Program </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10788">
+<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_10806">
+<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="margin-bottom:291px">
+<A href="#LinkTarget_10748">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+</P>
+<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_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:905px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>through the Department of the Prime Minister and Cabinet of the Commonwealth Government of Australia. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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_10806">
+<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">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_10986" style="text-align:; margin-bottom:7px; margin-right:138px; 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="margin-bottom:0px">
+<A href="#LinkTarget_11286">
+<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="margin-bottom:0px">
+<A href="#LinkTarget_11288">
+<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="margin-bottom:0px">
+<A href="#LinkTarget_11305">
+<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="margin-bottom:0px">
+<A href="#LinkTarget_11333">
+<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="margin-bottom:0px">
+<A href="#LinkTarget_11345">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ............................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_11365">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11384">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2 Requirements............................................................................ </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="margin-bottom:0px">
+<A href="#LinkTarget_11386">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 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="margin-bottom:0px">
+<A href="#LinkTarget_11392">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Operational Environment.......................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11394">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.1 openEHR Environments ..................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11433">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.2 Non-openEHR Systems .................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11446">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.3 Location of Information.................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11470">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.4 Granularity of Extract Data............................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11475">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.5 Time ...............................................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11480">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3 Use Cases.............................................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11483">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.1 Single Patient, Ad Hoc Request.....................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11523">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.2 Multiple Patient, Batch Send .........................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11530">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.3 Previous Versions and Revision Histories .....................................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="margin-bottom:0px">
+<A href="#LinkTarget_11536">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.4 Systematic Update and Persisted Requests....................................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="margin-bottom:0px">
+<A href="#LinkTarget_11552">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.5 Sharing of non-EHR openEHR Data .............................................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="margin-bottom:0px">
+<A href="#LinkTarget_11571">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.6 Provision of data from non-openEHR Systems.............................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="margin-bottom:0px">
+<A href="#LinkTarget_11578">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.7 Patient Access to Health Data........................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11616">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.8 Move of Entire Record ..................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11623">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.9 System Synchronisation.................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11636">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.3.10 Communication between non-openEHR EMR/EHR systems.......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="margin-bottom:0px">
+<A href="#LinkTarget_11653">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4 Technical Requirements.......................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11655">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.1 Specification of Content ................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11661">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.2 Specification of Versions ...............................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11682">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.3 Completeness of Data ....................................................................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="margin-bottom:0px">
+<A href="#LinkTarget_11742">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.4 Security and Privacy ......................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_11755">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.5 Update Basis ..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11785">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>3 Overview ................................................................................. 1</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="margin-bottom:0px">
+<A href="#LinkTarget_11786">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Design Approach .................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_11853">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Package Structure.................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11903">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4 Extract.common Package...................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11904">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11916">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 Design ..................................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11917">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 Extract Request ..............................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_11979">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 Content Specification.....................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12037">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 Extract............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12056">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3 Class Descriptions................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12057">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.1 EXTRACT_REQUEST Class .......................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12087">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.2 EXTRACT_ACTION_REQUEST Class ......................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12127">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.3 EXTRACT_SPEC Class................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:40px">
+<A href="#LinkTarget_12202">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.4 EXTRACT_MANIFEST Class .....................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:7px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+</P>
+<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_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_12222">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.5 EXTRACT_ENTITY_MANIFEST Class.....................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12264">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.6 EXTRACT_ENTITY_IDENTIFIER Class................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12287">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.7 EXTRACT_VERSION_SPEC Class ............................................ 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12336">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.8 EXTRACT_UPDATE_SPEC Class..............................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12387">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.9 EXTRACT Class...........................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12446">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.10 EXTRACT_CHAPTER Class.......................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12476">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.11 EXTRACT_FOLDER Class ......................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12519">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.12 EXTRACT_ENTITY_CONTENT Class......................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12534">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.13 EXTRACT_ITEM Class ............................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_12592">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.14 X_VERSIONED_OBJECT Class ................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12663">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>5 Ehr_extract Package.............................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12664">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview ............................................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12676">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Design..................................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12736">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.3 Class Descriptions ............................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_12737">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>5.3.1 EHR_EXTRACT_CONTENT Class ............................................ 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12797">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>6 Generic_extract Package....................................................... 3</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="margin-bottom:0px">
+<A href="#LinkTarget_12798">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview ............................................................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12823">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Design..................................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12830">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.3 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12831">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.1 GENERIC_EXTRACT_CONTENT Class...................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_12853">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6.3.2 GENERIC_EXTRACT_ITEM Class............................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12933">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7 Synchronisation Extracts ...................................................... 4</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="margin-bottom:0px">
+<A href="#LinkTarget_12934">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.1 Overview ............................................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12946">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.2 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12949">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.1 SYNC_EXTRACT_REQUEST Class .......................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_12984">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.2 SYNC_EXTRACT Class ..............................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13011">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.3 SYNC_EXTRACT_SPEC Class................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_13042">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.4 X_CONTRIBUTION Class...........................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13097">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>8 old stuff - to be rewritten....................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_13098">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>8.1 Design..................................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13142">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>9 The Message package ............................................................ 4</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="margin-bottom:0px">
+<A href="#LinkTarget_13143">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9.1 Requirements.......................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13146">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9.2 Design..................................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13173">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9.3 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13174">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9.3.1 ADDRESSED_MESSAGE Class.................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_13227">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>9.3.2 MESSAGE Class........................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13305">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>10 Semantics of EHR extracts.................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13306">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>10.1 Versioning Semantics .......................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_13382">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>10.2 Creation Semantics..............................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13448">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>11 Communication Scenarios..................................................... 5</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="margin-bottom:0px">
+<A href="#LinkTarget_13449">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>11.1 Single Hop...........................................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13451">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>11.2 Multiple Hop ....................................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_13453">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>11.3 Medico-legal Investigations ................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:47px">
+<A href="#LinkTarget_13455">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>11.4 Transfer of Entire EHR........................................................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </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_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_11286">
+<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_11288">
+<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:left; 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 the architecture 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 EHR Extract Information Model. This model is equivalent in scope to the CEN ENV 13606:2000 part 4 standard. </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 intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; 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"
+>Standards bodies producing health informatics standards </SPAN
+></LI>
+<LI style="list-style-type:disc; 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"
+>Software development groups using </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
+></LI>
+<LI style="list-style-type:disc; 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"
+>Academic groups using </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
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11305">
+<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:left; margin-bottom:7px; 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; 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 Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 Support Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 Data Types Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 Data Structures Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 Common Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; 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 EHR Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; 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 Demographic Information Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11333">
+<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="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"
+>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: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
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/ehr_extract_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TRUNK/publishing/architec</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/ehr_extract_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>ture/rm/ehr_extract_im.pdf</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">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="mailto:openehr-announce@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>announce@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:22px; 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_11345">
+<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"
+>Peer review </SPAN
+></H3>
+<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"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:left; margin-bottom:40px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main 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"
+>tent. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </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-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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: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_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11365" style="text-align:justify">
+<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"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:838px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </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 specification is deter</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"
+>mined by a formal test of that artifact against the relevant </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 Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</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"
+>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_11384">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Requirements </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11386" style="text-align:justify">
+<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"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This section describes the requirements 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 Extract Information Model (IM) is designed to meet. Requirements are expressed in terms of a description of the assumed operational environments (which acts as a design constraint), a set of use cases, functional and security require</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"
+>ments. The family of use cases describe coarse-grained information import to and export from health information systems, using </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 standardised information structures as the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>lingua franca</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. The Extract IM is neutral with respect to the communication technology used between systems: the infor</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"
+>mation structures can equally be used in a web services environment or in a messaging environment, including secure email. The concrete method of communication is therefore not a factor in the scenar</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"
+>ios described here. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11392" style="text-align:justify; margin-bottom:15px">
+<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"
+>Operational Environment </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11394" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR Environments </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The assumed operational </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 environment 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 Extracts is shown in </SPAN
+><A href="#LinkTarget_11398">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1. In </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>this figure, a Request for “information from the records of one or more ‘subjects’” is created by a Requesting system. A </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> record may be a patient EHR, a Person record in a demographic system, or any other logically meaningful top-level entity. Responding system(s) reply in the form of one or more Extracts. The Request/Response interaction is enabled by a transport mechanism and possibly other services. This be be in the form of comprehensive middleware, web services, or simple point-to</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"
+>point protocols such as SMTP (email) transport. </SPAN
+></P>
+<IMG width=648 height=368 style="display:block; float:none; text-align:center; margin-bottom:5px" src="images/ehr_extract_im_img_2.png">
+<P style="margin-bottom:66px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Information in Responding systems is assumed to be in the following form. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Each such system contains one or more Subject records (e.g. EHRs); there may be records for the same Subject in more than one system. </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>Each Subject record consists of one or more Version containers, each of which contains the version history of a particular piece of content. For an EHR, distinct containers are used for persistent Compositions (e.g. “medications list”, “problem list”) and event Compositions (Compositions created due to patient encounters and other events in the clinical care proc</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"
+>ess). </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>Each Version within a Version container corresponds to one version of the content managed by that container, in other words the state of a particlar content item at some point in time when it was committed by a user. </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"
+>Groups of Versions, each one from a different Version container within a Responding 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"
+>tem correspond to Contributions, i.e. 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 notion of a “change-set”. Any particular Contribution corresponds to the set of Versions committed at one time, by a particular user to a particular system. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The above relationships reveal a hierarchy of potential 1:N relationships in the information accessible to the requesting system, with Contributions forming an alternative view of the content. At each level of the hierarchy, a system of identifiers is needed, e.g. to distinguish Subjects, to distinguish Versions and so on. In some specific circumstances, some of these may be reduced to 1:1 relationships, e.g. there may be no versioning, removing the need for specific identifiers for versions of an item. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11433" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Non-</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR Systems </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"
+>It is expected that some non-</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 systems will use </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 Extracts to either receive or send information. Not much can be assumed about the internal data architecture of such systems. For the purposes of this specification, the existence of two levels of data hierarchy is assumed: </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"
+>“records”, each corresponding to a ‘subject’ (including demographic subjects); </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"
+>an equivalent of Compositions or “documents”, which are the coarsest grain item making up a record. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Nothing is assumed about versioning in non-</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 systems. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11446" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Location of Information </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:93px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In more advanced environments, there may be a health information location service which obviates the need for any knowledge on the part of the requestor about which systems contain information on a particular Subject of interest (e.g. a certain patient); in simpler environments, the requesting system </SPAN
+><A href="#LinkTarget_11453">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>may need to explicitly identify the target systems of the request. FIGURE 2 illustrates a direct request </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>and a request mediated by a location service. </SPAN
+></P>
+<IMG width=88 height=44 style="display:block; float:none; margin-bottom:51px" src="images/ehr_extract_im_img_3.png">
+<P style="text-align:justify; margin-bottom:34px; line-height:16px">
+<IMG width=269 height=132 style="display:block; float:left; margin-bottom:34px" src="images/ehr_extract_im_img_4.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:bold; color:#000000"
+>RespondingSystems </SPAN
+></P>
+<IMG width=52 height=33 style="display:block; float:none; text-align:right; margin-bottom:14px" src="images/ehr_extract_im_img_5.png">
+<P style="margin-bottom:40px">
+<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"
+>Health Information Reference Environment </SPAN
+></P>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This specification assumes that the EHR Request and Extract is between the Requesting system and each Responding system, even if the list of relevant Responding systems has been generated by a location service. In other words, this Extract specification does not encompass the idea of a compen</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"
+>dium of Extracts from multiple Responding systems. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11470" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Granularity of Extract Data </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In </SPAN
+><A href="#LinkTarget_11398">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> the lowest level of information shown in a Responding system is simply marked “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"
+>tent”. This corresponds to top-level information structures such as Compositions, Folder trees, Parties etc 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. Each such content item potentially contains a whole hierarchy of information items, only some of which is generally of interest to the Requestor. The typical database idea of a “query result” is usually expected to return only such fine-grained pieces. However, the Extract specification here only allows for a granularity of Compositions (“documents” etc), rather than fine-grained query responses which are dealt with by other means. This is because the primary use case of an Extract is to make parts of an EHR available somewhere else, rather than to intelligently query the record </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>in situ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>and return the result. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11475" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Time </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Versioned health record systems are “bitemporal” systems, because they include two notions of time. Times mentioned in the data relate to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>real world</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> events or states, such as the time of diagnosis of dia</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"
+>betes, or the date of discharge of a patient from a hospital. Real world time is distinquished from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>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"
+>tem time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, which is the time of events in the information system itself, such as committal of Contributions. Both real world time and system time may need to be specified in a Request. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11480" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Use Cases </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The following sections describe typical use cases that the Request/Extract model must satisfy. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11483" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Single Patient, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Ad Hoc</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+> Request </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"
+>A key clinical use case is the need to obtain some or all of a patient’s EHR from a remote system or systems. The request is most likely to be made due to the patient having been referred to another 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"
+>vider (including discharge to tertiary care), but other reasons such as falling ill while travelling will also figure. </SPAN
+></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:#000000"
+>The request might be made to an identified system, such as the system of the referring provider, or it may be made to all systems containing data on the given patient, if a health information location serv</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"
+>ice is available. </SPAN
+></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:#000000"
+>The contents of the request may be specified in different ways, either by the clinician and/or the soft</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"
+>ware, as follows: </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"
+>get this patient’s entire EHR from an identified source for the first time; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>get all changes to this patient’s EHR from specified (e.g. referring or GP) system since the last time this was done by me; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>get persistent Compositions such as “current medications”, “problem list” and “allergies and interactions”; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:84px; 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"
+>get Compositions matching a specific query, such as “blood sugar level measurements dur</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 the last six months”. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 5</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The meaning of time is content-dependent. For Observations in an </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 EHR, the sample times might be specified; for an Evaluation that documents a diagnosis, times for date of onset, date of last episode, date of resolution could all be specified. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11523" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Multiple Patient, Batch Send </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"
+>A very common requirement for pathology laboratories is to be able to send result data for tests done for a number of patients, on a periodic batch basis, to a known receiver such as a hospital, clinic or state health system. The batch send is usually seen as a “standing request” by the receiver, and may be on a periodic basis (e.g. send all the results available every hour), an “as-available” basis, or accord</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 to some other scheme. </SPAN
+></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:#000000"
+>Such data are currently often sent as HL7v2, Edifact or other similar messages. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: patient per message? Send trigger? </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: Extract may be sent unsolicited - i.e. no Request </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11530" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Previous Versions and Revision Histories </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"
+>In some circumstances, a request may be made for versions other than the latest of certain content. This might happen due to a study or medico-legal investigation that needs to establish what informa</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 was visible in certain systems at an earlier time. For example there may be a need to determine if the problem list, list of known allergies, and patient preferences were all compatible with the medica</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 list at some earlier time. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>As part of querying for previous versions, the revision histories of Versioned containers might be requested, in order to allow a user or software agent to determine which Versions are of interest. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11536" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Systematic Update and Persisted Requests </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"
+>In larger healthcare delivery environments such as state and regional health services, patients are rou</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"
+>tinely treated by multiple providers, some or all of which are part of a large distributed clinical 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"
+>puting environment. They may visit various clinics, specialists and hospitals, each of which has its own patient record for each patient. However, there is usually a need for centralised aggregation of patient data within the overall health authority, with updating required on a routine basis. </SPAN
+></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:#000000"
+>In such situations, the general requirement is for a request for update, typically for more than one patient, to be made once, and for it to be acted upon repeatedly until further notice. Specific require</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"
+>ments may 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"
+>periodic updates of changes since last update, with a specified period; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>event-driven updates, whereby an update occurs when a certain event occurs in the server, </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:7px; 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"
+> “any change to the EHR”, “any change to medications or allergies” and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>For these situations, the request can be persisted in the server. Even for one-off </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> requests, the requestor may require the request to be persisted in the server, so that it can be referred to simply by an identifier for later invocations. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11552" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Sharing of non-EHR </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR Data </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:57px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>There will be a need to be able to request information from </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 systems and services other than the EHR, such as demographics and workflow, as they are developed. One likely purpose for such requests is for import from </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 systems into non-</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 systems, for example from an </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 demographics service to an existing hospital Patient Master index. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>It should be possible to use the same general form of request as used for an EHR. However, instead of specifying Extracts of patient records (EHRs), the data shared in these other cases will be whichever top-level business objects are relevant for that kind of service, e.g. PARTYs for the demographic serv</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"
+>ice and so on. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11571" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Provision of data from non-</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR Systems </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"
+>One of the major uses of an </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 system is as a shared EHR system, aggregating data from vari</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"
+>ous existing systems in a standardised form. Data from such systems may be provided in different ways, including various messaging forms (HL7, Edifact), various kinds of EMR document (CEN EN13606, HL7 CDA), and other formats that may or may not be standardised. </SPAN
+></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:#000000"
+>The developers of some such systems may decide to provide an </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-compatible export gate</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"
+>way, capable of serialising various data into </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 structures, particularly the Composition / </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> form (see </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 Integration IM) which is highly flexible and can accommodate most existing data formats. Types of non-</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 systems that may supply </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 Extracts in this fashion include pathology systems and departmental hospital systems, such as radiology, (RIS), histopathology and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Extract Requests might be specified 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 form (i.e. according to this document) or in some other form, such as web service calls or messages; either way, the logical request is the same, i.e. which patients, which content, which versions, and the update basis. The responses must be some subset 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 Extract presented in this document. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11578" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Patient Access to Health Data </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"
+>Direct access by patients to their own health data outside of clinical encounters is a common aspira</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 e-health programmes around the world. It seems clear that there will be various modes by which such access will occur, including: </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"
+>patient carrying USB stick or other portable device containing some or all of health record; </SPAN
+></LI>
+<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"
+>access from home PC via secure web service to EHR, in a manner similar to online banking; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>access to EHR data in the form of encrypted email attachments on home PC either sent unsolicited (e.g. a scan cc:d to patient by imaging lab) or by request of the patient; </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"
+>access to EHR in the waiting rooms of doctors’ surgeries, clinics etc via kiosks or normal PCs. </SPAN
+></LI>
+</ul>
+<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"
+>Both the USB stick and email scenarios involve asynchronous access of EHR information, and can be addressed by the EHR Extract. </SPAN
+></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:#000000"
+>In the case of a portable device, the most obvious need is for the device to act as a synchronising transport between a home PC containing a copy of patient / family EHRs, and the EHR systems at various clinics that the patient visits. To achieve this, when changes are made at either place (in the home record or in the record held at a clinic), it should be possible to copy just the required changes to the device. 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 terms, this corresponds to copying Contributions made since the last syn</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"
+>chronisation. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:40px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The email attachment scenario is more likely to involve Extracts containing either information requested by the patient in a similar manner as for the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> clinical requests described above (e.g. most recent test result) or laboratory information in the form of an </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 Extract, destined for integration into an </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 EHR. In the latter case, the information is likely to be in the form of Compositions containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRIES</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, built according to legacy archetypes, although it could equally be in “pure” </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 form (i.e. Compositions containing proper </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 Observations). </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 5</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11616" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Move of Entire Record </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"
+>A patient’s entire EHR may be moved permanently to another system for various reasons, due to the patient moving, a permanent transfer of care, or re-organisation of data centres in which EHRs are managed. This is known as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>change of custodianship</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> of the record, and is distinct from situations in which copying and synchronisation take place. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The record is deleted (possibly after archival) from active use at the sending system. In these situa</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, the usual need is for an interoperable form of the complete EHR (including all previous ver</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"
+>sions) to be exported from the existing system and sent to the destination system, since in general the two systems will not have the same implementation platform, versioning model and so on. In some cases, the implementations may be identical, allowing a copy and delete operation in native represen</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"
+>tation could be used. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11623" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>System Synchronisation </SPAN
+></H3>
+<P ID="LinkTarget_11624" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Mirroring </SPAN
+></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:#000000"
+>Two </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 systems containing the same kind of data (i.e. EHR, demographic etc) may contain records that are intended to be logical “mirrors” (i.e. clones) of each other. In some cases, an entire system may be a clone of another, i.e. a “mirror system”. Mirrored records are purely read-only, and in all cases, the mirror record or system is a slave of its source, and no local updates occur. Synchro</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"
+>nisation is therefore always in one direction only. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>To maintain the information in mirrored records, an efficient update mechanism is required. 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 Contribution provides the necessary semantic unit because it is the unit of change to any record in a system, it can also be used as the unit of update to the same record in a mirroring system. </SPAN
+></P>
+<P ID="LinkTarget_11628" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>The Virtual EHR </SPAN
+></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:#000000"
+>If changes are allowed to multiple systems that also systematically synchronise, a “virtual EHR” exists. This term indicates that the totality of changes taken together form a complete EHR, even if any any particular instant in any given system, not all such changes are visible. The virtual EHR is the usual situation in any large-scale distributed e-health environment. Synchronisation might be on an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> or systematic basis, and may or may not be bidirectional. The difference between a synchroni</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"
+>sation request and any other kind of request is that the request is specified not in terms of a user query but in terms of bringing the record up to date, regardless of what changes that might require. </SPAN
+></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:#000000"
+>Due to the way version identification is defined 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 (see Common IM, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>package), the virtual EHR is directly supported, and synchronisation is possible simply by copying Versions from one place to another and adding them to the relevant Versioned container at the receiver end. In a large health computing environment, cloning and mirroring might be used system</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"
+>atically to achieve a truly de-centralised system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The defining condition of this use case is that one or more (possibly all) records in a system are main</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"
+>tained as perfect copies of the same records in other systems, with possible delays, depending on when and how updating occurs. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11636" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.3.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Communication between non-</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR EMR/EHR systems </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:40px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Since 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 Extract represents a generic, open standardised specification for representing clinical information, there is no reason why it cannot be used for systems that not otherwise imple</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"
+>ment </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. In this case, the Extract content is most likely to consist of Compositions and Generic_entries, and may or may not contain versioning information, depending on whether version</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 is supported in the generating systems. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11653" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Technical Requirements </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11655" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Specification of Content </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"
+>Content is specifiable in terms of matching criteria. This can take two forms: lists of specific top-level content items, or queries that specify top-level items in terms of matching subparts. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></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:#000000"
+>Queries are expressed in the Archetype Query Language. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11661" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Specification of Versions </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 Extract supports detailed access to the versioned view of data. Which versions of the content should be returned can be specified in a number of ways: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>as a version time of the source EHR at which all content should be taken </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px; line-height:22px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>in more specific terms, such as</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:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>time window of committal</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:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>with or without revision history, or revision history only</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:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>all, some, latest versions of each content item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+></LI>
+<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"
+>in terms of identified Contributions, Contributions since a certain time etc. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11682" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Completeness of Data </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Information transferred in an EHR Extract needs to be self-standing in the clinical sense, i.e. it can be understood by the requestor without assuming any other means of access to the responding system. In general, this means that for references of any kind in the transferred EHR data, the Extract needs to either contain the reference target, or else it must be reasonable to assume that the requestor has inde</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"
+>pendent access, or else doesn’t need it. </SPAN
+></P>
+<P ID="LinkTarget_11685" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>References to Other Parts of the Same EHR </SPAN
+></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:#000000"
+>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, there are two kinds of cross reference within an EHR: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINKs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> (defined in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>), and hyperlinks (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</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"
+>hyperlink</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>). Both of these use a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_EHR_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instance to represent the link target. The contents of the URI are defined in the Architecture Overview. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: Are EHR ids always included in URIs? </SPAN
+></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:#000000"
+>In some cases, referenced items within the same EHR will need to travel with the originally requested item, in order for the latter to make sense. For example, a discharge summary or referral might refer (via </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINKs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>) to other Compositions in the EHR, such as Medication list, Problem list, and lab reports. On the other hand, there may be links within the requested item to objects that are not required to be sent in an Extract. </SPAN
+></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:#000000"
+>Which links should be followed when building an Extract can be specified in terms of: </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: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"
+>link depth to follow, i.e. how many jumps to continue from the original item; a value of 0 means “don’t follow any links”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In addition, for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instances, the following can be specified: </SPAN
+></P>
+<P style="margin-bottom:57px">
+<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"
+>link type to follow, i.e. only follow links whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute matches the specification. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 5</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_11707" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>References to Other EHRs </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>References to items in other EHRs may occur within an EHR, e.g. to the EHR of a parent, other 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"
+>tion, organ donor etc. There is no requirement for such links to be followed when constructing EHR Extracts. </SPAN
+></P>
+<P ID="LinkTarget_11710" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>References to Resources Outside the EHR </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Computable references can also be made to external items from within an </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 EHR. Instances of the data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>occurring either on their own or in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> hyperlink are typically used to refer to resources such as online guidelines and references. Instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>can contain </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_URI</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instances that refer to multimedia resources usually within the same provider enterprise, e.g. radiology images stored in a PACS. Since URIs are by definition globally unique, they remain seman</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"
+>tically valid no matter where the data containing them moves. However, there is no guarantee that they can always be resolved, as in the case of a URI referring to a PACS image in one provider envi</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"
+>ronment when transferred to another. This is unlikely to be a problem since images are usually repre</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"
+>sented in the EHR as a small (e.g. 200kb) JPG or similar, and it is almost never the intention to have original image sets (which may be hundreds of Mb) travel with an EHR. Requests to access original images would be made separately to a request for EHR Extracts. </SPAN
+></P>
+<P ID="LinkTarget_11715" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>References to Demographic Entities </SPAN
+></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:#000000"
+>Two kinds of demographic entities are referred to throughout an </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 EHR. Individual providers and provider institutions are referenced from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> objects in the record, via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, which contains references to objects within a demographic repository, such as an </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 demographic repository, a hospital MPI or a regional or national identity service. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> can in addition carry human readable names and other computational identifiers for the provider in question. </SPAN
+></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:#000000"
+>The second kind of demographic reference, found in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, is to the EHR subject (i.e. patient), and may or may not be present in the EHR, depending on the level of security in place. Where it is present, it is to a record in a demographic or identity system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>For the contents of an EHR Extract to make sense to the receiver, referenced demographic items may have to be included in the Extract, if the receiver has no access to a demographic system containing the entities. Whether patient demographics are included is a separate matter, since the requestor 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"
+>tem already knows who the patient is, and may or may not need them. The requestor should therefore be able to specify whether the Extract includes referenced demographic entities other than the subject, and independently, whether subject demographics should be included. </SPAN
+></P>
+<P ID="LinkTarget_11720" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Archetypes and Terminology </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Another kind of “reference” is terminology codes, stored in instances of the data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> (via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>mapping</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute) and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</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"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. 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 systems, all coded terms </SPAN
+></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:#000000"
+>(i.e.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>) carry the text value of the code, in the language of the locale of the EHR. For normal use, this is typically sufficient. However, for the purposes of decision support or other applications requiring inferencing, the terminology itself needs to be available. This specifica</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 assumes that where the requestor requires inferencing or other terminology capabilities, inde</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"
+>pendent access to the complete terminology will be obtained. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:78px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The same assumption is made with respect to archetypes whose identifiers are mentioned in the EHR data or meta-data: archetype are not themselves included in Extracts, and have to be resolved sepa</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"
+>rately. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11742" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Security and Privacy </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"
+>Security becomes one of the most important requirements for the EHR Extract for the obvious reason of its exposure in potentially uncontrolled environments outside the (supposedly) secure boundaries of requesting or responding systems. The general requirement is that the contents of an Extract are based on: </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 access control rules defined in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object at source; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>any other access rules defined in policy services or other places; </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:0px; 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"
+>authentication of the requesting user. Digital signing should be used based on the (preferably certified) public key of the requestor. Notari</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>sation might also be used to provide non-repudiable proof of sending and/or receiving Extracts, although this is outside the scope of this specification. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_11755" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>2.4.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Update Basis </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"
+>In addition to specifying the content a basis for update also needs to be specified. The simplest possi</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"
+>ble case is that of an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> one-off query. </SPAN
+></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:#000000"
+>More complex cases are periodic update and event-driven update. </SPAN
+></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:#000000"
+>Persistent Request </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:558px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Requirements </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_11785" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></P>
+<P ID="LinkTarget_11786" style="text-align:justify; margin-bottom:7px">
+<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"
+>Design Approach </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; 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 Extract model uses two design ideas. Firstly, the notion of a Request and an Extract (the reply) are clearly distinguished. Extracts may include a copy of the Request to which the Extract is a reply, indicating what is actually in the Extract, which may differ from what was requested. Sec</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"
+>ondly, the common semantics of Requests and Extracts are modelled in a generic way, with a number of specialised Request and Extract types being based on the common classes. Different concrete types of Extract are thus used to satisfy particular groups of requirements, rather than trying to make one kind of Extract perform all possible tasks. </SPAN
+><A href="#LinkTarget_11828">
+<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"
+> illustrates key Extract communication scenar</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"
+>ios, along with the various concrete Extract types defined by the model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:129px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Requesting System </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Responding System </SPAN
+></P>
+<P style="margin-bottom:66px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR Extract fro</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>m 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+></P>
+<P style="margin-bottom:57px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>non-</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>system (e.g. path</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>supplies </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>style generic Extrac</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></P>
+<P style="margin-bottom:69px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>clone of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>repository update</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>s 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>from paren</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></P>
+<P style="margin-bottom:47px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Any syste</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>m 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>requests other kin</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>of Extract from othe</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>r 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR syste</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>m 
+</SPAN
+></P>
+<P style="margin-bottom:0px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>non-</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>systems us</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>e 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>generic </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Extract t</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>o 
+</SPAN
+></P>
+<P style="margin-bottom:73px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>communicate </SPAN
+></P>
+<IMG width=105 height=49 style="display:block; float:none; text-align:center; margin-bottom:-2px" src="images/ehr_extract_im_img_6.png">
+<P style="margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:bold; color:#000000"
+>or </SPAN
+></P>
+<IMG width=105 height=139 style="display:block; float:none; text-align:center; margin-bottom:74px" src="images/ehr_extract_im_img_7.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>any kind of </SPAN
+></P>
+<P style="margin-bottom:57px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:10.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:10.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>EHR system </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>any </SPAN
+></P>
+<P style="margin-bottom:4px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:10.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:10.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>EHR system </SPAN
+></P>
+<P style="margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:bold; color:#000000"
+>or </SPAN
+></P>
+<IMG width=108 height=139 style="display:block; float:none; text-align:center; margin-bottom:70px" src="images/ehr_extract_im_img_8.png">
+<IMG width=348 height=580 style="display:block; float:none; text-align:right; margin-bottom:70px" src="images/ehr_extract_im_img_9.png">
+<P style="margin-bottom:40px">
+<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"
+>Use cases for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Extracts </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Overview </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The EHR Extract is just one concrete type of Extract. The other types 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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generic Extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: an Extract type designed for use with non-</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 systems communicat</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 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 systems, and users of the CEN EN 13606 Extract specification. The Generic Extract assumes the absolute minimum about what is in a system, while remaining withing 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 type system; </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"
+>Synchronisation Extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: an Extract used for updating mirrored EHRs across systems; uses Contributions as the grouping concept. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Other types of Extract may be defined in the future. </SPAN
+></P>
+<P ID="LinkTarget_11853" style="text-align:justify; margin-bottom:7px">
+<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"
+>Package Structure </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; 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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the semantics of Extracts from </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 data sources, including EHRs. The modelling approach taken is to define generic Request and Extract types, whose seman</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"
+>tics are extended in various specific kinds of Extract, such as for an EHR or demographic system. Further flexibility is provided in terms of the form of data sent in an Extract, such as whether it is </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 versioned data (sufficient for recreating versions at the receiver end) or more basic forms of </SPAN
+><A href="#LinkTarget_11865">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>data e.g. with no assumed versioning (sufficient for use in a CEN EN13606-like. environment). FIG</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<A href="#LinkTarget_11865">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>URE 4</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the package structure of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract package</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-right:264px; margin-left:10px; text-indent:-9px; line-height:35px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>extract common </SPAN
+></P>
+<P style="margin-bottom:26px; line-height:35px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>ehr_extract </SPAN
+></P>
+<P style="text-align:left; margin-bottom:26px; margin-left:272px; line-height:35px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>message</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>generic_extract </SPAN
+></P>
+<P style="margin-bottom:84px; line-height:35px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>sync_extract </SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.extract Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The sub-packages are as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:4px; margin-right:171px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>common</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: semantics common to all Extracts; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-right:171px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ehr_extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: semantics for the EHR Extract type; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-right:171px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>generic_extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: defines semantics of the Generic Extract type; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-right:171px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>synchronisation_extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: defines semantics of the Synchronisation Extract type; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:170px; margin-right:171px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>message</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: simple model of a message containing an Extract. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_11903" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Extract.common Package </SPAN
+></P>
+<P ID="LinkTarget_11904" style="text-align:justify; margin-bottom:7px">
+<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
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.common</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the semantics common to all kinds of Extract requests and Extracts. Requests and Extracts can be implemented as messages, or used as types in a webserv</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"
+>ice environment. In the latter, the Extract request semantics would most likely be replaced by equiva</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"
+>lent service function definitions. </SPAN
+></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:#000000"
+>The Request contains a detailed specification of the repository content required in the Extract. A Request is not always needed, and an Extract may be sent unsolicited. Requests can be made 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"
+>ent and/or event-driven, supporting various periodic and continuous update scenarios. Each request may specify the data from one or more entities, e.g. EHRs or subjects. </SPAN
+></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:#000000"
+>The Extract reply may optionally include a copy of the request, while the main content is in the form of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>chapters</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, each containing the requested data for one entity, such as an EHR. Each chapter may 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"
+>tain a directory (i.e. folder structure), for CEN EN13606 compatibility. The detailed structure of the content is defined in various specialised variants of the common Extract model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:34px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The instance structure of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</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:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT</SPAN
+><A href="#LinkTarget_11915">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> types is illustrated in FIGURE 5. In </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>this figure, abstract types are indicated in italics, meaning that the actual types in a real Request and Extract will be subtypes of the relevant types shown here. </SPAN
+></P>
+<IMG width=401 height=321 style="display:block; float:none; text-align:center; margin-bottom:27px" src="images/ehr_extract_im_img_10.png">
+<P style="margin-bottom:26px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Request and Extract structure </SPAN
+></P>
+<P ID="LinkTarget_11916" style="text-align:justify; margin-bottom:15px">
+<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"
+>Design </SPAN
+></P>
+<P ID="LinkTarget_11917" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Extract Request </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; line-height:19px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 6</SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.common</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class consists of an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>update_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> specifying rules for update (one-off, periodic, event-driven etc), and a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>extract_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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:#000000"
+>indicating what information from the target repository is required. The latter consists of an optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, indicating which versions (default is latest) and a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, specifying which entities (records or subjects, and optionally which items from those entities should be included. </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>update_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> part of the Request specifies how the Request is to be processed by the server. The default situation, requiring no </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>update_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> at all, is a one-off request. Other alternatives 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"
+>repeat Reqest with a defined period and/or trigger events; </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"
+>persisting the Request in the server so that the requestor can make later repeat (but </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>requests simply by referring to a previously stored request by its identifier. </SPAN
+></LI>
+</ul>
+<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 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> repeat of a request persisted earlier is made using an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST_REPEAT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. This specifies only the identifier of a request previously specified using an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. Since requests are uniquely identified for all time, there can be no error in the identification. </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>extract_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> part of the Request applies to all chapters in the Extract. The core attributes indicate the following: </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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>what kind of Extract this is, e.g. “openehr-ehr”, “openehr-demographic”, “openehr-synchro</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"
+>nisation”, “openehr-generic”, “generic-emr”, etc; </SPAN
+></LI>
+<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"
+>what directory structure to use in the Extract if any; specified as an archetype identifier; </SPAN
+></LI>
+<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"
+>an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>includes_multimedia</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag indicating whether inline binary objects are included or not; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; 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 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>link_depth</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> value, indicating how many levels of link to follow when constructing the 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"
+>tent of the Extract; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px; line-height:22px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>criteria</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, specifying queries defining the required content of each entity record; </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_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, an archetypable structure including further extract details. </SPAN
+></LI>
+</ul>
+<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 remainder of the specification consists of two further structures: </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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, specifying which versions of the content are required; this is expressed in terms of the flags </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>all_versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> (i.e. all versions available of each item); </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> for each item and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> (which can be set False to get revi</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"
+>sion histories only), as well as a time range of versions; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:15px; 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 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> indicating the entities for which record extracts will be required, and optionally identifiers of particular items (e.g. Compositions) known to be part of that entity. An entity is identified using an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ENTITY_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, which allows for iden</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"
+>tification of the record or the subject in question, depending on what is available in the deployment environment. </SPAN
+></LI>
+</ul>
+<P ID="LinkTarget_11979" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Content Specification </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The content to be included in an Extract is specified in three dimensions. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> specifies which entity records are to be included, thus determining who the Extract is about - one patient or many. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>criteria</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute specifies the semantic criteria to be matched within a given entity record, </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; 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"
+> items corresponding to certain dates, types of clinical activity and so on. The 3rd dimension is the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, which indicates which versions in system time are to be obtained of the items defined by the manifest and criteria attributes. The details are as follows. </SPAN
+></P>
+<P ID="LinkTarget_11982" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>The Manifest </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>It is the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> that decides the scope of records to be retrieved. In the simplest case, only a single entity and no items will be identified; this will be used in the vast majority of single-patient request scenarios. However, some scenarios will be of a batch update nature, including pathology lab result update and situations where patient records are requested corresponding to a list of referrals received </SPAN
+></P>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=621 height=953 style="display:block; float:none; text-align:center; margin-bottom:4px" src="images/ehr_extract_im_img_11.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.extract.common Package </SPAN
+></P>
+<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"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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:#000000"
+>by a hospital since the last such update. In these cases, the manifest will identify a number of entities, each of which will be allocated a separate chapter in the resulting Extract. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; 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"
+>item_list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> of each entity manifest identifies individual items using </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instances each containing the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> identifier of a particular top-level object such as a Composition, or Party. This mechanism for identifying contents of an Extract is only expected to be used when a 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"
+>cific identifier is known, rather than when items corresponding to filtering criteria are requested. The latter are specified using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>criteria</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></P>
+<P ID="LinkTarget_12005" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Retrieval Criteria </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>criteria</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute defines in the form of generic queries (i.e. queries that apply sensibly to any record) which items are to be retrieved from each entity’s record. Each query is expressed as a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instance, enabling any formalism to be used. Some </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 query formalisms are already in development, and generally include a path-based approach to identifying items. Query expressions use variables such as $ehr to mean the current EHR from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> list. Queries may be as simple as the following: </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"
+>SELECT * FROM $ehr - get all items in the record </SPAN
+></LI>
+<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"
+>SELECT /ehr_access FROM $ehr - retrieve the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object in an EHR </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>SELECT /ehr_status FROM $ehr - retrieve the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object in an EHR </SPAN
+></LI>
+</ul>
+<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"
+>More sophisticated queries can be used to obtain items corresponding to a specific criteria, e.g.: </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"
+>SELECT .... - retrieve last 6 months’ worth of blood glucose measurements </SPAN
+></LI>
+<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"
+>... - retrieve ongoing medications list </SPAN
+></LI>
+<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"
+>...... - retrieve items relating to active pregnancy </SPAN
+></LI>
+<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"
+>..... - retrieve all GP encounter notes since 12-03-2005 </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+<P ID="LinkTarget_12032" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Version Specification </SPAN
+></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:#000000"
+>A Extract request in its simplest form has no version specification, corresponding to the assumption of “latest available version” for each matched item. However, in some situations there is a need to ret</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"
+>trieve previous versions, or information about versions. The version specification part of the Extract request allows this to be done. The possibilities available are as follows. </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"
+>include_all_versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: the whole version ‘stack’ of each item matched by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>manifest</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> and retrieval </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>criteria</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> should be returned. Note that the result of this will be all available versions from the repository in question, which is in general not the same as all versions that have ever been created, since versions in the same logical version tree may exist at other repositories due to local modifications that have not been propagated to the target repository of the Extract Request. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; 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"
+>includes_revision_history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: this flag indicates whether the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; 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"
+> of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> is to be included in the Extract form of the version </SPAN
+></P>
+<P ID="LinkTarget_12037" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>Extract </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; 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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> consists of an optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> list, an optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>specification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> and a set of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>chap</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"
+>ters</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, each containing the content for a given entity. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute denotes parties that were responsible for creating the Extract. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>specification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> takes the same form as the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>extract_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, but in an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instance, indicates the actual contents of the Extract, which may differ from the request (e.g. due to limited availability of versions, revision histories, or simply the fact that a requested entity has no record at the repository). Each </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_CHAPTER </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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:#000000"
+>includes a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object and an optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, which is a simple folder structuring mechanism for content held in the chapters, required by the CEN EN 13606 standard. Note that this directory structure has nothing to do with directory structures that may be retrieved from the target repository </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"
+>the latter are included in the content part of an Extract chapter. The directory structure, if used, refers to content items by means of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> referring to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ITEM</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"
+>uid </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; 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"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object is subtyped by specific Extract models described in later sections of this specifica</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. </SPAN
+></P>
+<P ID="LinkTarget_12056" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_12057" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_REQUEST Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_REQUEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generic model of a Request for an Extract, containing an Extract specification. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; 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"
+>extract_spec</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:10.9pt; font-weight:normal; color:#000000"
+> EXTRACT_SPEC </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Specification details of the request. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>update_spec</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:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_UPDATE_SPEC </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; 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"
+>Update details of the request. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; 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"
+>1..1 (redefined) </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:53px; 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"
+>uid</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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:53px; border-style:solid; 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"
+>Identifier of this Request, generated by requestor. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; 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"
+>Extract_spec_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: extract_spec /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Uid_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12087" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_ACTION_REQUEST Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:51px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ACTION_REQUEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generic model of a Request for an Extract, containing an Extract specification. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; 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"
+>request_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:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Identifier of previous </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>action</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:10.9pt; font-weight:normal; color:#000000"
+> String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>should be coded </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; 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"
+>Requested action: cancel, resend, send new </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; 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"
+>Request_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: request_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Action_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: action /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12127" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_SPEC Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:38px">
+<CAPTION  style="margin-bottom:38px">
+<P style="margin-bottom:38px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specification of an Extract’s contents. Subtypes can be used to add details 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"
+>cific to the type of Extract. The specification consists of attributes specifying the directory, and two further groups of attributes in their own classes, namely a ver</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"
+>sion specfication (which versions of information items are to be included) and a manifest (which entities are to be included in the extract). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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="width:537px; height:48px; border-style:solid; 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"
+>Used in a request to specify an Extract, as well as to describe what is contained in an Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:123px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:123px; 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"
+>extract_type</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:10.9pt; font-weight:normal; color:#000000"
+> String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>TB: should we code this one? I think we should... </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:123px; border-style:solid; 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"
+>Coded term indicating the type of content required, e.g. • “openehr-ehr” • “openehr-demographic” • “generic-emr” • “other” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>includes_multimedia</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>Indicates whether inline instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> in the source data are included or not. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:253px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:253px; 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"
+>link_depth</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:10.9pt; font-weight:normal; color:#000000"
+> Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:253px; border-style:solid; 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"
+>Degree of links to follow emanating from content items specified for inclusion. The kind of links to follow is dependent on the type of Extract. All items at the target end of followed links at the given depth are also included in the extract; </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ITEM</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"
+>is_primary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> is used to differentiate. - 0 = don’t follow; - 1 = follow first degree links; - 2 = follow 2nd degree links; - .... - n = follow nth degree links </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>criteria</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt;DV_PARSABLE&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Queries specifying the contents of this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>manifest</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:10.9pt; font-weight:normal; color:#000000"
+> EXTRACT_MANIFEST </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Specification of entities (e.g. records) to include in the Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:104px; 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"
+>version_spec</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:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_VERSION_SPEC </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:104px; border-style:solid; 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"
+>Specification of which versions of informa</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 items to include in the Extract. If Void, the default is latest versions only (which is reasonable for non-versioning systems as well). </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>includes_directory</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>True if the Extract includes a Folder direc</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"
+>tory. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>directory_archetype</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:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>Identifier of archetype to use for local Folder structure; if Void and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>includes_directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> is True, a non-archetyped directory is used. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>other_details</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 PS', serif; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; 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"
+>Other specification items. Archetypable. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:83px; 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"
+>Extract_type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: extract_type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>extract_type.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Link_depth_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: link_depth &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Manifest_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: manifest /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Directory_spec_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: directory_archetype /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> includes_directory </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12202" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_MANIFEST Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_MANIFEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specification of the candidate entities and optionally top-level items to be included in the Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:85px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:85px; 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"
+>entities</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt; EXTRACT_ENTITY_MANIFEST&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:85px; border-style:solid; 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"
+>List of entity manifests uids of items included in the Extract; 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 data, these are uids identifying the version 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"
+>tainers. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; 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"
+>Entities_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: entities /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>not entities.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12222" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_ENTITY_MANIFEST Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:71px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ENTITY_MANIFEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The manifest for one entity, identifying the entity and optionally specifying top-level items to be included in the Extract. The list actually included may be modi</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"
+>fied by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> part of the specification, and also by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>link_depth </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>attribute. In repeat (standing order) Requests, the final inclusion may be modified by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>send_changes_only</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>update_spec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>entity_identifier</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:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ENTITY_IDENTIFIER </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>Identifies an entity, such as an EHR or 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"
+>ject (i.e. usually a person or other demo</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"
+>graphic entity). </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ENTITY_MANIFEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>item_list</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>List of uids of items included in the Extract; 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 data, these are uids identifying the version containers. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; 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"
+>Entity_identifier_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: entity_identifier /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Item_list_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: item_list /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> item_list.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12264" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_ENTITY_IDENTIFIER Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ENTITY_IDENTIFIER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier for a single demographic entity or record thereof. Because identification is poorly standardised and also heavily dependent on existing systems, this class provides two possibilities for identification: an id for the record, or an id for the demographic entity. These are not always 1:1 anyway, due to errors that occur in systems causing duplicate records for a given entity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>entity_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:10.9pt; font-weight:normal; color:#000000"
+> PARTY_IDENTIFIED </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Identifies a demographic entity for which there is a record. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; 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"
+>record_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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Identifies a record for a demographic entity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; 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"
+>Identifier_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: entity_id /= Void or record_id /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12287" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_VERSION_SPEC Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:39px">
+<CAPTION  style="margin-bottom:39px">
+<P style="margin-bottom:39px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_VERSION_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:140px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specification of what versions should be included in an Extract. By default, only latest versions are included in the Extract, in which case this part of the Extract specification is not needed at all. The attributes </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_all_versions</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', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>commit_time_interval</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> are used to modify this; the former forces all versions to be included; the latter limits the versions to be those latest versions committed in the time interval, or if </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_all_versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> is True, all versions committed in the time interval. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:142px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:142px; 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"
+>commit_time_interval</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:10.9pt; font-weight:normal; color:#000000"
+>DV_INTERVAL &lt;DV_DATE_TIME&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:142px; border-style:solid; 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"
+>Specifies commit time interval of items to source repository to include in Extract. By default, only latest versions whose commit times fall in the range are included. If </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_all_versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> is True, then the range includes all versions committed within the interval. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_VERSION_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>include_all_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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>True if all versions of each item in the Extract are included. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>includes_revision_history</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:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>True if revision histories of the items in the Extract are included. If included, it is always the full revision history. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:235px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:235px; 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"
+>includes_data</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:235px; border-style:solid; 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"
+>True if the data of items matched by the 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"
+>tent spec should be included. This is the default. If False, only revision history is included in serialised versions. Turning this option on 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 systems causes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> to have </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; 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"
+> set, but </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"
+> Void. Useful for interrogating a server without having to look at any content data. In other systems it may or may not have a sensible meaing. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:537px; height:46px; 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"
+>Includes_revision_history_valid</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:bold; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> includes_data </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>includes_revision_history. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12336" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_UPDATE_SPEC Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:64px">
+<CAPTION  style="margin-bottom:64px">
+<P style="margin-bottom:64px; line-height:15px">
+<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>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_UPDATE_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:185px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:185px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Specification of the how Request should be processed by server. The Request can be persisted in the server, meaning that a) it can be re-activated by the requesting system simply by indicating Request id, and b) that a changes-only pattern of Extract updates can be set up. To achieve this, the server has to remember what was send in the previous reponse. The update mode may be event-driven and periodic update or a mixture of both. The candidate items to be sent each time are the result of re-evaluating the content and versioning parts of the specification; what is actually sent is determined by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>send_changes_only</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>persist_in_server</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>If True, this Request is persisted in the server until further notice. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:86px; 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"
+>send_changes_only</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:86px; border-style:solid; 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"
+>If True, send only items that are changed (including logical deletions) or new since last send. For persist_in_server Requests only. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_UPDATE_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>repeat_period</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:10.9pt; font-weight:normal; color:#000000"
+> DV_DURATION </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Period for resending update Extracts in response to original Request. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:235px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:235px; 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"
+>trigger_events</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt;String&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>TB: should we code this one? I think we should... </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:235px; border-style:solid; 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"
+>Set of Event names that will cause sending of update Extracts. Event types include: • “any_change” - any change in content items matched by content specification, e.g. new versions of persistent compositions. If the content list allows matching of any, or a wide range of archetypes, this event type will match any additions to the record. • “correction” - match error corrections only, including deletions. • “update” - match updates (i.e. new ver</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"
+>sions) of included content items. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:83px; 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"
+>Overall_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: repeat_period /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>trigger_events /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Trigger_events_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: trigger_events /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>trigger_events.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Send_changes_only_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: send_changes_only </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> persist_in_server </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12387" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:43px">
+<CAPTION  style="margin-bottom:43px">
+<P style="margin-bottom:43px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generic model of an Extract of some information from a repository; the generic parameters select which kind of specification and content the Extract carries. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:53px; background-color:#CCFFFF; 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"
+>1..1 (redefined) </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:53px; 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"
+>uid</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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:53px; border-style:solid; 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"
+>Identifier of this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; 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"
+>request_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:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Reference to causing Request, if any. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:85px; 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"
+>sequence_nr</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:10.9pt; font-weight:normal; color:#000000"
+> Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:85px; border-style:solid; 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"
+>Number of this Extract response in sequence of responses to Extract request identified by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>request_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. If this is the sole response, or there was no request, value is 1. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>specification</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:10.9pt; font-weight:normal; color:#000000"
+> EXTRACT_SPEC </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>The specification that this Extract actually conforms to; might not be identical with the specification of the corresponding request. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>participations</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:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;PARTICIATION&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Participations relevant to the creation of this Extract. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>chapters</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:10.9pt; font-weight:normal; color:#000000"
+>List&lt;EXTRACT_CHAPTER&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The content extracted and serialised from the source repository for this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:139px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:139px; 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"
+>Uid_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Request_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: request_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>request_id.type.is_equal(“EXTRACT_REQUEST”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Participations_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: participations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> participations.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Specification_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: specification /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Sequence_nr_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: sequence_nr &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Chapters_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: chapters /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12446" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_CHAPTER Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_CHAPTER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>One content chapter of an Extract; contains information relating to only one entity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:242px; height:35px; background-color:#CCFFFF; 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="width:296px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:242px; height:48px; 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"
+>entity_identifier</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:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ENTITY_IDENTIFIER </SPAN
+></TD>
+<TD style="vertical-align:top; width:296px; height:48px; border-style:solid; 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"
+>Reference to causing Request, if any. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:242px; height:67px; 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"
+>content</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 PS', serif; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>EXTRACT_ENTITY_CONTENT </SPAN
+></TD>
+<TD style="width:296px; height:67px; border-style:solid; 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"
+>The information content of this chapter. Void if the requested entity does not exist in the repository. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:242px; 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"
+>directory</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:10.9pt; font-weight:normal; color:#000000"
+> EXTRACT_FOLDER </SPAN
+></TD>
+<TD style="vertical-align:top; width:296px; height:35px; border-style:solid; 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"
+>Optional Folder structure for this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:64px; 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"
+>Entity_identifier_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: entity_identifier /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Content_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: content /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Directory_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: directory /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> directory.is_archetype_root </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12476" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.11 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_FOLDER Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:34px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_FOLDER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Folder in local Folder structure in an Extract. Empty Folders are allowed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>folders</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:10.9pt; font-weight:normal; color:#000000"
+>List&lt;EXTRACT_FOLDER&gt; </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>Sub-folders of this folder, including distinct Folder trees, which may be separately 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"
+>typed. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_FOLDER </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>items</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>List of references to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ITEMs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> in this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:532px; height:46px; 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"
+>Folders_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: folders /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> folders.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> items.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12519" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_ENTITY_CONTENT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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="text-align:center; vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ENTITY_CONTENT (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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:center; vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Container of extracted and serialised content. Intended to be subtyped into e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT_CONTENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="text-align:center; width:231px; height:35px; background-color:#CCFFFF; 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:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12534" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.13 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EXTRACT_ITEM Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:60px">
+<CAPTION  style="margin-bottom:60px">
+<P style="margin-bottom:60px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Wrapper for one content item in Extract, containing various meta-data. Indicates whether it was part of the primary set and what its original path was. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>uid</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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; 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"
+>Unique id of this Extract item; used for all referencing from elsewhere in Extract, including from Extract Folders. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>is_primary</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>True if the content item carried in this 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"
+>tainer was part of the primary set for the Extract , i.e. not added due to link-following. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>is_changed</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>TB: I added this one..useful? </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>True if the content item carried in this 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"
+>tainer is any kind of change since last send, in repeat sending situations. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:104px; 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"
+>original_path</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:10.9pt; font-weight:normal; color:#000000"
+> DV_URI </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>Is this a useful attribute? The item will already have its HIER_OBJECT_ID in the ORIGINAL_VERSION. </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:104px; border-style:solid; 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"
+>The original path of the item in the source repository, used for matching items in the receiver’s repository. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>is_masked</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; 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"
+>True if the content of this item has not been included due to insufficient access rights of requestor. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>EXTRACT_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>item</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:10.9pt; font-weight:normal; color:#000000"
+> X_VERSIONED_OBJECT &lt;LOCATABLE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>Information item</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; 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"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12592" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>4.3.14 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>X_VERSIONED_OBJECT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:111px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:539px; height:31px; background-color:#CCFFFF; 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"
+>X_VERSIONED_OBJECT &lt;T: LOCATABLE&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:539px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Variety of Extract content that consists is a sharable data-oriented version of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:215px; height:35px; background-color:#CCFFFF; 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="width:325px; height:35px; background-color:#CCFFFF; 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; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; 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"
+>uid</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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:325px; height:35px; border-style:solid; 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"
+>Uid of original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:48px; 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"
+>owner_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:10.9pt; font-weight:normal; color:#000000"
+> LOCATABLE_REF </SPAN
+></TD>
+<TD style="width:325px; height:48px; border-style:solid; 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"
+>Owner_id from original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, which identifies source EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:215px; height:48px; 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"
+>time_created</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:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:325px; height:48px; border-style:solid; 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"
+>Creation time of original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:67px; 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"
+>total_version_count</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:10.9pt; font-weight:normal; color:#000000"
+>INTEGER </SPAN
+></TD>
+<TD style="width:325px; height:67px; border-style:solid; 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"
+>Total number of versions in original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> at time of creation of this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:85px; 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"
+>extract_version_count</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:10.9pt; font-weight:normal; color:#000000"
+>INTEGER </SPAN
+></TD>
+<TD style="vertical-align:top; width:325px; height:85px; border-style:solid; 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"
+>The number of Versions in this extract for this Versioned object, i.e. the count of items in the </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"
+> attribute. May be 0 if only revision his</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"
+>tory is requested. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:67px; 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"
+>revision_history</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:10.9pt; font-weight:normal; color:#000000"
+>REVISION_HISTORY </SPAN
+></TD>
+<TD style="width:325px; height:67px; border-style:solid; 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"
+>Optional revision history of the original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. If included, it is the 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"
+>plete revision history. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:215px; height:67px; 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"
+>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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+> List &lt;ORIGINAL_VERSION&lt;T&gt;&gt; </SPAN
+></TD>
+<TD style="width:325px; height:67px; border-style:solid; 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"
+>0 or more Versions from the original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, according to the Extract specification. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:120px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:120px; 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"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Owner_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: owner_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Time_created_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: time_created /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Total_version_count_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: total_version_count &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Extract_version_count_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: extract_version_count &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Versions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: versions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> versions.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract.common Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Ehr_extract Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12663" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Ehr_extract Package </SPAN
+></P>
+<P ID="LinkTarget_12664" style="text-align:justify; margin-bottom:7px">
+<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"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; 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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.ehr_extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package defines the EHR variant of an Extract. An EHR Request allows for the specification of EHR id and/or the subject of care, while the EHR Extract is defined in terms of a general model of Folders / Compositions / demographics / other items, following the top-level structure 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 EHR. The contents of each of these parts of the Extract are in the form of a serialised variant of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.common</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package) whose versions are a copy of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> objects matching the Request content specification, with the addi</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 cryptographic digest. </SPAN
+><A href="#LinkTarget_12675">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.ehr_extract</SPAN
+><A href="#LinkTarget_12694">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package. FIG</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<A href="#LinkTarget_12694">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>URE 8</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the instance structure of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_REQUEST</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:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>.. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>EXTRACT_CONTEN</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>T </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.extract.common) </SPAN
+></P>
+<IMG width=317 height=291 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/ehr_extract_im_img_12.png">
+<P style="margin-bottom:26px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.extract.ehr_extract Package </SPAN
+></P>
+<P ID="LinkTarget_12676" style="text-align:justify; margin-bottom:15px">
+<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"
+>Design </SPAN
+></P>
+<P ID="LinkTarget_12677" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>EHR Extract Request </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class is a specialised version of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class, whose type paremeter is bound to an EHR variant of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_SPEC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>called </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT_SPEC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. This lat</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"
+>ter class adds only two attributes to the standard Request specification: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ehr_id</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', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. At least one of these must be specified. Ehr_id will be used if the requestor happens to know it, which is most likely if it is requesting updates from an EHR that was originally made as a clone of an EHR at the requestor system. However, since there is no guarantee that the identifiers will match, the subject is more likely to be specified in most cases. Another situation in which the requestor will know the EHR id will be to do with EHR split/merge remedial operations. In the Extract reply, both fields must be filled in. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:47px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>IS THIS REASONABLE??? </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:47px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Ehr_extract Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<IMG width=613 height=436 style="display:block; float:none; text-align:center; margin-bottom:26px" src="images/ehr_extract_im_img_13.png">
+<P style="margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Extract structure </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>SHOULD EHR_access be allowed? This may itself be a violation of securit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>y 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>should EHR_STATUS be included</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>? 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>How should extract spec indicate which of directory, compositions, ehr_acces, ehr_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#FF0000"
+>? 
+</SPAN
+></P>
+<P ID="LinkTarget_12699" style="text-align:justify; margin-bottom:0px; line-height:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>EHR Extract </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT_CONTENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> contains items extracted from an </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 EHR system according to the content and version parts of the Request specification. The items are grouped as follows: </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"
+>directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> (copies of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</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"
+>directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> from the source system); </SPAN
+></LI>
+<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"
+>compositions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: Compositions from the source system; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>demographics</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: demographic entities from the source system demographic service, if one exists. If no demographic items are present in the Extract, the receiver must rely on identify</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 data in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> objects found within </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONs</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:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITIONs </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>within the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>compositions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> part of the Extract; </SPAN
+></LI>
+</ul>
+<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: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_items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: any other items from the source system, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object, in the case of a complete EHR move. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:30px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>All of these items are included in the Extract in a serialised form 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 </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class, called </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. This latter provides a standardised 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"
+>operable way to serialise all or part of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> for lossless transmission between 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, regardless of the likely implementation differences in versioning at each end. Accordingly, </SPAN
+></P>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Ehr_extract Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> turns most functional properties of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> into data attributes. The two attributes of most interest are </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; 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"
+>, which enables the optional inclu</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"
+>sion of the complete revision history from the original </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</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', '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"
+>, which allows any or all of the versions to be included form the original. The revision history can be requested on its own using by setting the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>includes_data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag of the version specification to False. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In most scenarios, </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"
+> will be included, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; 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"
+> excluded. Each item in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT</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"
+>versions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> consists of a wrapped copy of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORIGINAL_VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> from the corresponding </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object in the source system. </SPAN
+></P>
+<P ID="LinkTarget_12736" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_12737" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>5.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>EHR_EXTRACT_CONTENT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:193px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:536px; height:31px; background-color:#CCFFFF; 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"
+>EHR_EXTRACT_CONTENT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Form of EHR Extract content containing </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 serialised </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:247px; height:35px; background-color:#CCFFFF; 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="width:290px; height:35px; background-color:#CCFFFF; 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; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:67px; 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"
+>directory</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:10.9pt; font-weight:normal; color:#000000"
+>X_VERSIONED_OBJECT &lt;FOLDER&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:290px; height:67px; border-style:solid; 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"
+>Folder tree from source EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:67px; 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"
+>compositions</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:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;X_VERSIONED_OBJECT &lt;COMPOSITION&gt;&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:290px; height:67px; border-style:solid; 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"
+>Compositions from source EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:67px; 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"
+>demographics</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:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;X_VERSIONED_OBJECT &lt;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt;&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:290px; height:67px; border-style:solid; 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"
+>Demographic entities from source EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:67px; 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"
+>other_items</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:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;X_VERSIONED_OBJECT &lt;</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>&gt;&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:290px; height:67px; border-style:solid; 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"
+>Other items from source EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:64px; 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"
+>Compositions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: compositions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> compositions.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Demographics_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: demographics /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> demographics.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Other_items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: other_items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> other_items.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Ehr_extract Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic_extract Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12797" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Generic_extract Package </SPAN
+></P>
+<P ID="LinkTarget_12798" style="text-align:justify; margin-bottom:7px">
+<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
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.generic_extract</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package defines a generic Extract Request and Extract designed to be used by non-</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 systems (including EHR/EMR systems) that want to send data to another system (which may or may not be an </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 system) using </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 strucures and semantics. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; line-height:19px">
+<A href="#LinkTarget_12807">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 9 illustrates the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.extract.generic_extract</SPAN
+><A href="#LinkTarget_12810">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package. FIGURE 10 illustrates the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>instance structure of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>.. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:310px; margin-left:233px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>EXTRACT_CONTEN</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>T </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; margin-right:305px; margin-left:238px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.extract.common) </SPAN
+></P>
+<IMG width=345 height=249 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/ehr_extract_im_img_14.png">
+<P style="margin-bottom:40px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.extract.generic_extract Package </SPAN
+></P>
+<IMG width=599 height=293 style="display:block; float:none; text-align:center; margin-bottom:11px" src="images/ehr_extract_im_img_15.png">
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic_extract Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12823" style="text-align:justify; margin-bottom:15px">
+<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"
+>Design </SPAN
+></P>
+<P ID="LinkTarget_12824" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Generic Extract Request </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class is a specialised version of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_REQUEST</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class, whose type paremeter is bound to an EHR variant of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_SPEC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> called </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_EXTRACT_SPEC</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>This latter class adds only two attributes to the standard Request specification: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>ehr_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#0000FF"
+>. At least one of these must be specified. Ehr_id will be used if the requestor happens to know it, which is most likely if it is requesting updates from an EHR that was originally made as a clone of an EHR at the requestor system. However, since there is no guarantee that the identifiers will match, the subject is more likely to be specified in most cases. Another situation in which the requestor will know the EHR id will be to do with EHR split/merge remedial operations. In the Extract reply, both fields must be filled in. </SPAN
+></P>
+<P ID="LinkTarget_12827" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Generic Extract </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_EXTRACT_CONTENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> contains items extracted from any EHR- or EMR-like system, and converted to an </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 Composition structure. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; margin-left:60px; text-indent:-59px; line-height:17px">
+<SPAN style="font-family:'serif', 'Courier New PS', serif; font-size:10.9pt; font-style:italic; font-weight:normal; color:#FF00FF"
+>To Be Determined: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#FF00FF"
+>should it be Compositions, or can we make it anylump of stuff, e.g. a naked Entry? I favour making it as loose aspossible - that way it accommodates 13606, but also even simplersystems. </SPAN
+></P>
+<P ID="LinkTarget_12830" style="text-align:justify; margin-bottom:15px">
+<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"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_12831" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>6.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>GENERIC_EXTRACT_CONTENT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:536px; height:31px; background-color:#CCFFFF; 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"
+>GENERIC_EXTRACT_CONTENT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generic form of EHR Extract content capable of carrying any data. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:247px; height:35px; background-color:#CCFFFF; 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="width:290px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:247px; height:48px; 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"
+>items</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:10.9pt; font-weight:normal; color:#000000"
+>List&lt;GENERIC_EXTRACT_ITEM&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:290px; height:48px; border-style:solid; 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"
+>Items. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; 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"
+>Items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> items.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_12853" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>6.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>GENERIC_EXTRACT_ITEM Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:28px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>GENERIC_EXTRACT_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Single item in generic extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTRACT_ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; 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:302px; height:35px; background-color:#CCFFFF; 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>
+</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 40 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic_extract Package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:577px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>GENERIC_EXTRACT_ITEM </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>item</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:10.9pt; font-weight:normal; color:#000000"
+> LOCATABLE </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Content item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; 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"
+>item_type</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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Type of item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; 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"
+>version_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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Version id of this item in original system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; 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"
+>version_set_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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Version set id of this item in original system, where applicable. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; 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"
+>other_details</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:10.9pt; font-weight:normal; color:#000000"
+> Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; 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"
+>Other details about the content item. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:120px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:120px; 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"
+>Item_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: item /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Item_type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: item_type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>item_type.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: version_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> version_id.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Version_set_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: version_set_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>version_set_id.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Other_details_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: other_details /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> other_details.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 41 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Generic_extract Package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 42 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Synchronisation Extracts Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12933" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>Synchronisation Extracts </SPAN
+></P>
+<P ID="LinkTarget_12934" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<A href="#LinkTarget_12944">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 11 illustrates an Extract variant designed for synchronising two </SPAN
+></A>
+<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 systems. The specification only allows for a list of Contributions, or Contributions since a certain Contribution; it also allows the actual versions to be included or excluded. If they are excluded, you can get just 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"
+>tributions on their own - i..e find out what the other system has got. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>MESSAGE_CONTEN</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>T </SPAN
+></P>
+<P style="margin-bottom:11px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>(rm.message) </SPAN
+></P>
+<IMG width=547 height=321 style="display:block; float:none; text-align:center; margin-bottom:39px" src="images/ehr_extract_im_img_16.png">
+<TABLE style="text-align:left; margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:537px; height:30px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 11 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.extract.synchronisation_extract Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_12946" style="vertical-align:middle; width:57px; height:45px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>7.2 </SPAN
+></TH>
+<TD style="width:480px; height:45px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Descriptions </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_12949" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7.2.1 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:480px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>SYNC_EXTRACT_REQUEST Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="text-align:center; margin-bottom:34px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>SYNC_EXTRACT_REQUEST </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Type of request designed for synchronisation of Contributions between </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 servers. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MESSAGE_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>specification</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:10.9pt; font-weight:normal; color:#000000"
+>SYNC_EXTRACT_SPEC </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Details of specification of synchronisation request. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; 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"
+>Specification_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: specification /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 43 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Synchronisation Extracts </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_12984" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>SYNC_EXTRACT Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>SYNC_EXTRACT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Synchronisation Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MESSAGE_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>specification</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:10.9pt; font-weight:normal; color:#000000"
+>SYNC_EXTRACT_SPEC </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:48px; border-style:solid; 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"
+>Details of specification of this Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>content</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:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;X_CONTRIBUTION&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Content, in the form of a serialised Contri</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"
+>butions. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; 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"
+>Specification_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: specification /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_13011" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>SYNC_EXTRACT_SPEC Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>SYNC_EXTRACT_SPEC </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Details of specification of Extract, used in a request to specify an Extract, or in a response, to describe what is actually in the Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:67px; 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"
+>includes_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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; 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"
+>True if the Versions from the Contribution are included; False if just the Contribution and its Audit are included. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>contribution_list</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:10.9pt; font-weight:normal; color:#000000"
+>List&lt;HIER_OJBECT_ID&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>List of Contributions to include / that are included in the Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="width:236px; height:48px; 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"
+>contributions_since</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:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE_TIME </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Specify Contributions included in Extract by threshold date. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>all_contributions</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:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>True if all Contributions in the record are included. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_13042" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>7.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>X_CONTRIBUTION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:22px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>X_CONTRIBUTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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="vertical-align:top; width:537px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Serialised form of Contribution for an Extract. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:236px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; 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"
+>uid</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:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; 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"
+>Uid of Contribution in source system. </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 44 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Synchronisation Extracts Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:751px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:537px; height:31px; background-color:#CCFFFF; 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"
+>X_CONTRIBUTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>audit</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:10.9pt; font-weight:normal; color:#000000"
+> AUDIT_DETAILS </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Audit of Contribution in source system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:236px; height:48px; 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"
+>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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;VERSION&lt;T&gt;&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; 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"
+>Serialised Versions from Contribution in source system. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:64px; 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"
+>Uid_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: uid /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Versions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: versions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> versions.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 45 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>old stuff - to be rewritten </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_13097" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>old stuff - to be rewritten </SPAN
+></P>
+<P ID="LinkTarget_13098" style="text-align:justify; margin-bottom:34px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>8.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Design </SPAN
+></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:#000000"
+>The content of an EHR extract consists of the following: </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"
+>copies of a selection of Compositions, optionally within a folder structure; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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 folder structure which may include folder sub-trees from the source EHR, and/or folder trees created during the extraction process (e.g. corresponding to a discharge summary structure or similar). These folder structures may potentially be archetyped; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>copies of all entities from other services referenced from the EHR, including demographic entities (Parties) and access control entities (Access_groups); </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"
+>any extra information required for the receiver to understand the extract, potentially includ</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 terminology extracts (e.g. in the form of &lt;key, rubric&gt; tables). </SPAN
+></LI>
+</ul>
+<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"
+>None of the other services (particularly demographics, access control etc) in the sender’s environment is assumed to be available in the receiver’s environment; consequently, in general, referenced entities must be included. However, an extract can be constructed in such a way as to leave out such entities, for the case when both the receiver and sender nodes exist within the same environment and have access to the same services. In any case, it is crucial to understand that the receiver’s view of the extract must include </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>exactly the versions of all referenced entities</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> as existed when the extracted infor</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"
+>mation was first created. In a shared environment, the use of versioned ids (subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>RM.COM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MON.IDENTIFICATION</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:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>) guarantees this. </SPAN
+></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:#000000"
+>In the case of unsolicited extracts, the structure of Folders and Compositions may be </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, but would preferably follow archetyped models for “discharge summary”, “discharge referral”, “transfer of care” and other well-known documents in the health system. The structure of requested extracts is more likely to be </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, since requests will usually be in the form of a query, such as “all composi</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 between date_1 and date_2”, or a list of persistent compositions, such as “‘current medications’, ‘care plan’, ‘therapeutic precautions’”. However, it may also be structured, if archetypes are devel</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"
+>oped for repeated requests; in this case, the request will simply identify the archetype model of the extract. </SPAN
+></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:#000000"
+>Extracts are characterised by the time of creation, the parties authorising, sending and receiving, and the “initiator”, i.e. who caused it - the receiver (requested) or the sender (unsolicited). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:235px; margin-left:192px; text-indent:-191px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>: 	</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>describe how PARTY_IDs, other EXTERNAL_IDs workinside an EHR_EXTRACT. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 46 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Message package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_13142" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>The Message package </SPAN
+></P>
+<P ID="LinkTarget_13143" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>9.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Requirements </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<A href="#LinkTarget_11380">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In the first two EHR extract scenarios described in Requirements on page 9, extracts may be received </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>in response to a request, or they may be unsolicited. Most transfers of care (e.g. discharge summaries and referrals) and pathology test results will generate unsolicited extracts, whereas solicited requests will usually occur due to the patient presenting him or herself in another part of the health system without an explicit transfer of care. </SPAN
+></P>
+<P ID="LinkTarget_13146" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>9.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Design </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; 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', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>message</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> package provides the basic abstractions for the sending and receiving of any point to point message containing a payload, of abstract type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MESSAGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. The Message Package is illustrated in </SPAN
+><A href="#LinkTarget_13165">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 12</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:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#0000FF"
+>message </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#000000"
+>ADDRESSED_MESSAGE </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-right:74px; margin-left:210px">
+<IMG width=59 height=84 style="display:block; float:left; margin-bottom:27px; margin-right:74px; margin-left:210px" src="images/ehr_extract_im_img_17.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:bold; font-stretch:semi-condensed; color:#000000"
+>MESSAGE </SPAN
+></P>
+<P style="text-align:justify; 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:#007E00"
+>sender</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></P>
+<P style="text-align:; margin-bottom:-10px; margin-right:3px; margin-left:210px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>audit</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>AUDIT_DETAILS </SPAN
+></P>
+<P style="text-align:; margin-bottom:0px; margin-right:141px; margin-left:192px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>1</SPAN
+></P>
+<P style="text-align:justify; 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:#007E00"
+>sender_reference</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></P>
+<P style="text-align:; margin-bottom:0px; margin-left:210px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>author</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>PARTY_PROX</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Y </SPAN
+></P>
+<P style="text-align:; margin-bottom:0px; margin-right:136px; margin-left:162px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#007E00"
+>message </SPAN
+></P>
+<P style="text-align:justify; 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:#007E00"
+>addressees</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&lt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>> </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-right:52px; margin-left:210px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>content</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>ANY </SPAN
+></P>
+<P style="text-align:justify; 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:#007E00"
+>urgency</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Integer </SPAN
+></P>
+<P style="text-align:; margin-bottom:47px; margin-right:25px; margin-left:210px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>signature</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>[0..1]: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.message Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A new message is required for each transmission, even if the payload was created once and is retrans</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"
+>mitted multiple times. </SPAN
+></P>
+<P ID="LinkTarget_13168" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#000000"
+>Integrity and Security </SPAN
+></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:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MESSAGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> object may include a digital hash (i.e. digest or digital finderprint) of the serialised 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"
+>tent, made for example using the SHA-1 or MD5 algorithms. The purpose of the digest is to provide an integrity check on the data. This protects against non-malicious changes to the data (e.g. due to software bugs, incorrect transaction management). Often this will be acceptable within secure, closed environments, such as a private hospital or community health network. </SPAN
+></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:#000000"
+>Protection against malicious modification can be provided by encryption. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: normalised serialised expression </SPAN
+></P>
+<P ID="LinkTarget_13173" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>9.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_13174" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>9.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>ADDRESSED_MESSAGE Class </SPAN
+></P>
+<IMG width=652 height=71 style="display:block; float:none; text-align:center; margin-bottom:27px" src="images/ehr_extract_im_img_18.png">
+<P style="margin-bottom:66px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>The concept of a message addressed to nominated recipients. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 47 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Message package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:#CCFFFF; 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"
+>ADDRESSED_MESSAGE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF7E; 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"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>MESSAGE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; 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"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; 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"
+>various message classes </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:247px; height:35px; background-color:#CCFFFF; 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="width:292px; height:35px; background-color:#CCFFFF; 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; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; 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"
+>sender</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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:35px; border-style:solid; 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"
+>Party sending the message. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:85px; 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"
+>sender_reference</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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:85px; border-style:solid; 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"
+>Identification of message used by sender. This will be the same no matter how many times this message is sent to these recipi</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"
+>ents. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:48px; 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"
+>addressees</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:10.9pt; font-weight:normal; color:#000000"
+> List&lt;String&gt; </SPAN
+></TD>
+<TD style="width:292px; height:48px; border-style:solid; 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"
+>Intended recipients, in the form of internet addresses. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; height:104px; 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"
+>urgency</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:10.9pt; font-weight:normal; color:#000000"
+> Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:104px; border-style:solid; 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"
+>Urgency with which destination should deal with message: -1 - low 0 - normal 1 - high </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:247px; 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"
+>message</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:10.9pt; font-weight:normal; color:#000000"
+> MESSAGE </SPAN
+></TD>
+<TD style="vertical-align:top; width:292px; height:35px; border-style:solid; 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"
+>The content of the message. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:102px; 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"
+>Sender_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: sender /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>sender.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Addressees_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: addressees /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> addressees.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Sender_reference_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: sender_reference /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>sender_reference.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Message_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: message /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_13227" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>9.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:bold; color:#000000"
+>MESSAGE Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:48px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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:532px; height:31px; background-color:#CCFFFF; 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"
+>MESSAGE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; 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="vertical-align:top; width:532px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>A “message” is an authored, possibly signed, piece of content intended for one or more recipients. Since the recipient may or may not be known directly, recipients are specified in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADDRESSED_MESSAGE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; 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"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; 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="width:302px; height:35px; background-color:#CCFFFF; 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; width:114px; height:86px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:86px; 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"
+>audit</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:10.9pt; font-weight:normal; color:#000000"
+> AUDIT_DETAILS </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:86px; border-style:solid; 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"
+>Details of who actually created the message-and when. This is the person who entered the data or otherwise caused the message to be created, or might be a piece of softare. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; 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"
+>author</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:10.9pt; font-weight:normal; color:#000000"
+> PARTY_PROXY </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; 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"
+>Party responsible for the message content, who may or may not be technically responsi</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"
+>ble for its creation (e.g. by data entry etc). </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 48 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The Message package Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:695px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; 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 style="width:217px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH colspan=2 style="vertical-align:middle; width:316px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; 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"
+>MESSAGE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; 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"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:217px; height:33px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>content</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:10.9pt; font-weight:normal; color:#000000"
+> ANY </SPAN
+></TD>
+<TD style="vertical-align:top; width:14px; height:33px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:302px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Content of the message. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; 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"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:217px; height:104px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>signature</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:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:14px; height:104px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:302px; height:104px; border-style:solid; 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"
+>Optional signature by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>author</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> of message content in openPGP format. The signature is created as a Hash and optional signing of the serialisation of this message object with this signature field Void. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; 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"
+>Invariants </SPAN
+></TD>
+<TD style="vertical-align:top; width:217px; height:64px; border-style: border-style:solid none solid 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"
+>Author_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: author /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Audit_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: audit /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>Content_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>: content /= Void </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:316px; height:64px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 49 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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: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 Message package </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 50 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Semantics of EHR extracts Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_13305" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>10 Semantics of EHR extracts </SPAN
+></P>
+<P ID="LinkTarget_13306" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>10.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Versioning Semantics </SPAN
+></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:#000000"
+>Although for most clinical situations, it is the latest versions of Compositions which are sent to a receiver, there are requirements for various amounts of version-related information to be included, as described in </SPAN
+><A href="#LinkTarget_11380">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Requirements on page 9. At a minimum, Compositions always include the audit trail cor</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"
+>responding to the particular version which the Composition represents. In some cases, historical ver</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"
+>sions of a logical Composition are needed for some medico-legal reason. It may even be required that the receiver system wants to reconstruct a complete facsimile of the versioned object, logically identi</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"
+>cal to its form at the source (but most likely stored in a different versioning implementation). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:34px; 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 extract specification defines the simplest means of satisfying these needs, namely to include all Compositions in their whole form, including in the case where they are successive ver</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><A href="#LinkTarget_13326">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>sions of a single logical Composition such as “family history”, as illustrated in FIGURE 13. The main </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>justification for this is that no assumptions should made on sender or receiver systems to do with their ability to represent or efficiently process versions. Whole Compositions can always be processed by even the simplest systems. </SPAN
+></P>
+<TABLE style="text-align:left; margin-bottom:27px">
+<TR>
+<TH style="width:98px; height:16px; background-color:#FF0000; border-style: solid solid none solid; border-color: #000000; border-width:2px 2px 1px 2px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:bold; color:#FFFFFF"
+>audit trail v1 </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:98px; height:98px; background-color:#0000FF; border-style: none solid solid solid; border-color: #000000; border-width:1px 2px 2px 2px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#FFFFFF"
+>v1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#FFFFFF"
+>COMPOSITION </SPAN
+></TH>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:40px; margin-left:341px; line-height:15px">
+<IMG width=129 height=151 style="display:block; float:left; margin-bottom:40px; margin-left:341px" src="images/ehr_extract_im_img_19.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>removed item </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:178px; margin-left:194px; text-indent:-17px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>added item </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:bold; font-stretch:semi-condensed; color:#000000"
+>modified item </SPAN
+></P>
+<IMG width=427 height=197 style="display:block; float:none; text-align:right; margin-bottom:15px; margin-right:57px; margin-left:215px" src="images/ehr_extract_im_img_20.png">
+<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"
+>It is assumed that any system that wants to be able to determine things such as who was responsible for changing a certain fragment of a Composition, when some part of a Composition came into being, or the differences between two particular versions of a Composition, must have version control capa</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"
+>bility locally. This usually means having some implementation of a version control model such as the one described 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 Common Reference Model, which can do efficient versioning, differ</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"
+>encing and so on. Supplying Compositions in their full form ensures that no assumption is made on what such an implementation might be. </SPAN
+></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:#000000"
+>The approach here is a departure from the CEN ENV 13606-4:2000 EHR Extract prestandard (although the future revision underway may change this), which defines Compositions so as to include revision history information on every node of the structure. Although it is not stated in the 13606 specification whether the “Composition” is in fact supposed to be understood as a copy of a Composition from an EHR, or as a “cumulative diff” of Composition versions in an EHR, analysis shows that only the latter can make sense because the Composition (Composition) is the unit of crea</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 and modification, and there is logically only one audit trail for each version. Even the 100th ver</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"
+>sion has associated with it only one audit trail. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:40px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>This raises the question of whether a “diff” form of Compositions should be used 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 Extract, conforming to the CEN pre-standard. The approach was not chosen for a number of reasons: </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 51 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Semantics of EHR extracts </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>it implies that senders can generate “diff” information structures and that receivers can proc</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"
+>ess them, i.e. it makes more assumptions than necessary about </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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 CEN specification appears to be in error - the sending of deleted information does not appear to be handled </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 sending of deleted information is not normally desired, and may be illegal (e.g. in Europe there are EC directives preventing the sending of statements corrected by clinicians or patients). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>It is worth contemplating just how complex cumulative difference information would be. </SPAN
+><A href="#LinkTarget_13367">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 14 </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>illustrates the structure generated by the accumulation of only three changes shown in the successive versions in </SPAN
+><A href="#LinkTarget_13326">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 13. The large numbers of changes likely in persistent Compositions will gener</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"
+>ate far more complex structures. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; margin-left:342px; text-indent:-222px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:normal; color:#000000"
+>Logical for</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:normal; color:#000000"
+>m 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:normal; color:#000000"
+>Cumulative Diff </SPAN
+></P>
+<IMG width=404 height=581 style="display:block; float:none; text-align:center; margin-bottom:230px" src="images/ehr_extract_im_img_21.png">
+<P style="margin-bottom:47px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>FIGURE 14 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Generation of Cumulative Difference Form </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 52 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Semantics of EHR extracts Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>In conclusion, while sending a difference form of Compositions is not out of the question in a future when most EHR nodes are capable of sophisticated version handling, it is considered too complex currently, and the controls over sending deleted information have not been sufficiently well described. </SPAN
+></P>
+<P ID="LinkTarget_13382" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>10.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Creation Semantics </SPAN
+></P>
+<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"
+>The following describes an algorithm which guarantees the correct contents of an EHR extract. The input to the algorithm is: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-right:15px; margin-left:60px; text-indent:-23px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>the list of EHR Compositions required in the extract (the “primary” Composition set); </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"
+>optionally a folder structure in which the Compositions are to be structured in the extract; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-right:15px; 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"
+>include_multimedia</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag indicating whether </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> content is to be included inline or not; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:7px; margin-right:15px; 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"
+>follow_links</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attribute indicating to what depth </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> references emanating from Compositions should be followed and the Compositions containing the link targets also included in the extract. </SPAN
+></LI>
+</ul>
+<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 algorithm is as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-right:151px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>Create a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> including the folder structure; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-right:151px; 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"
+>Create a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_DEMOGRAPHICS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> instance and write the demographic snapshots for each party mentioned in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> itself into the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>parties</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> list; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-right:151px; 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"
+>For each Composition in the original set, do: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>create an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, and set </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>is_primary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, and write the target Composition </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>original_path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> in; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>for each instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> encountered (e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>), obtain the target of the reference from the relevant service, and copy it to the appropriate container, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>demographics</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"
+>access_groups </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>tables with the key = the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</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"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>; </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; margin-left:84px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>copy/serialise the Composition into the appropriate place in the folder structure rewriting its </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> so that namespace = “local” </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:192px; text-indent:-191px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>: 	</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>except when no parties included due to localxfer </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:84px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>for each instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> encountered, include or exclude the content </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:84px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>referred to by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> attributes, according to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>include_multimedia</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> flag; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:84px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>according to the value of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>follow_links</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, for each instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> encountered (only </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:4px; margin-left:84px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>from/to Archetyped entities): </SPAN
+></P>
+<dl>
+<DT style="list-style-type:none; text-align:justify; margin-bottom:4px; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>* 	</SPAN
+></DT>
+<DD style="list-style-type:none; text-align:justify; margin-bottom:4px; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>follow the links recursively. For each link: create an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>X_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>; set </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>is_primary</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> = False, write the path and write the target Compositions in the extract if not already there; </SPAN
+></DD>
+
+<DT style="list-style-type:none; text-align:justify; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:bold; color:#000000"
+>* 	</SPAN
+></DT>
+<DD style="list-style-type:none; text-align:justify; margin-left:168px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>create the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_LINK</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> objects so that their paths refer correctly to the Com</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></DD>
+
+</dl>
+<P style="text-align:left; margin-bottom:139px; margin-left:60px; text-indent:108px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>positions in the Extract</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:bold; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>TBD: do something about Access_control objects</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 53 of 5</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Communication Scenarios </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_13448" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:18pt; font-weight:bold; color:#000000"
+>11 Communication Scenarios </SPAN
+></P>
+<P ID="LinkTarget_13449" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>11.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Single Hop </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+<P ID="LinkTarget_13451" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>11.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Multiple Hop </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+<P ID="LinkTarget_13453" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>11.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Medico-legal Investigations </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>It is currently believed that access to prior versions will only take place for reasons of medico-legal investigations, and that this will normally occur </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>in situ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. at the relevant HCF, and require special legal intervention. The practical consequence of this is that only latest versions of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> are normally sent in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>. However, in the case of a medico-legal investigation, earlier </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;s</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> may be sent in an extract. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> are never sent in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>, but might be sent in a situation where the entire EHR is changing custodianship, e.g. if the patient moves to another GP, or another country. </SPAN
+></P>
+<P ID="LinkTarget_13455" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>11.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; font-weight:bold; color:#000000"
+>Transfer of Entire EHR </SPAN
+></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:#000000"
+>There are two possible ideas of transferring an &quot;entire EHR&quot;. The first is to satisfy a request for &quot;the latest cut&quot; of a patient's entire EHR (or even perhaps the entire snapshot for some earlier moment in time). This scenario is simply a special case of the normal request/extract scenario in which the fol</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"
+>lowing conditions are true. </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 set of Compositions requested just happens to be all of the existing ones. </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>There is no guarantee that all the requested compositions will be incorporated into the receiver’s EHR for the patient in question - some may be discarded as irrelevant, or out of date. </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>Both the sending and receiving EHR systems will continue to create and modifiy their EHRs according to independent processes. </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"
+>In general the sending and receiving systems’ versions of any given EHR will diverge in time due to these processes - there is no a priori assumption that the two EHRs must remain synchronised. </SPAN
+></LI>
+</ul>
+<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"
+>Apart from the first one, these conditions are exactly the same as for the normal communication scan</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"
+>rios, and are dealt with by these scenarios. </SPAN
+></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:#000000"
+>The second scenario corresponds to a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>change of custodianship</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+> of an EHR, in which case 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 is true: </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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>the whole EHR including all its versions, contributions, entire folder structure, all relevant demographic, terminological, access control and presumably all referenced patient-specific information (such as images, executing guidelines etc) stored on departmental systems is transferred to a new place; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:34px; 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 old EHR is then decommissioned, archived, and possibly removed from the online 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"
+>tem; </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 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_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 54 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Communication Scenarios Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</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; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>the EHR in its new location (and the patient) become the responsibility of a new health care facility and/or information custodians, and is subject to what ever information governance is in place in the new location; </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"
+>all medico-legal responsibility passes to the new custodian, requiring that all previous ver</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"
+>sions in time be retained. </SPAN
+></LI>
+</ul>
+<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"
+>As far as is known, there is no solid experience showing what the generally accepted requirements for transfer-of-custodianship are. It is currently thought that the exact definition of what needs to be transferred in the second scenario could be complex and  dependent upon local or regional particular</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"
+>ities. </SPAN
+></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:#000000"
+>Further, it is thought that at the technical level, transfer of &quot;entire EHRs&quot; might well be accomplished by a variety of means in any particular circumstance, such as: </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"
+>physical movement of computer system; </SPAN
+></LI>
+<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"
+>physical movement of binary or database files of some kind; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; 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"
+>low-level dump of EHR at origin and restore of EHR at receiver, assuming same/compatible database systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:12pt; font-weight:normal; color:#000000"
+>use of binary transfer protocols e.g. CORBA, .Net etc. </SPAN
+></LI>
+</ul>
+<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"
+>At this point, it is hard to show that the operation to re-establish an EHR in its entirety in another place can be described by a clear and generally accepted set of requirements which could be formally modelled. Consequently, the specifications provided here do not claim to satisfy any particular sce</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"
+>nario of this kind, although it is conceivable that they could be used to enact it in some particular sit</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"
+>uations, depending on the needs. Further work is required to determine what additional features might be needed in the proposed models to satisfy the EHR transfer scenarios in different countries, juris</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"
+>dictions etc. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:438px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT', serif; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:511px; text-indent:-510px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 55 of 5</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<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:justify; margin-bottom:959px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Communication Scenarios </SPAN
+><A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+> 20 Feb 2007 </SPAN
+></A>
+<A href="#LinkTarget_13564">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 56 of 57 </SPAN
+></A>
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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">
+<A href="#LinkTarget_10747">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Extract Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:34px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_10872">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></A>
+</P>
+<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>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_10751">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, H Frankel} </SPAN
+></A>
+<A href="#LinkTarget_13563">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 57 of 57 </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_10876">
+<SPAN style="font-family:'serif', 'Times New Roman', serif; font-size:9pt; font-weight:normal; color:#000000"
+>20 Feb 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_10859">
+<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>
+</DIV>
+</BODY>
+</HTML>
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+<META
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+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_15706">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15755">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16142">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16520">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16522">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16539">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16563">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16575">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16594">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16623">2 Background</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16626">2.1 Requirements</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16629">2.1.1 Original GEHR Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16665">2.1.2 GEHR Australia Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16701">2.1.3 European Synapses and SynEx Project Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16737">2.1.4 European EHCR Support Action Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16744">2.1.5 ISO EHR Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16748">2.1.6 openEHR Requirements</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16780">2.2 Relationship to other Health Information Models</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16783">2.2.1 CEN TC/251 prEN13606</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16814">2.2.2 HL7 Version 3</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16819">2.2.3 OMG HDTF</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16834">3 The EHR Information Model</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16836">3.1 Overview</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16869">4 EHR Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16871">4.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16929">4.2 The Parts of the EHR</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16931">4.2.1 Root EHR Object</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16935">4.2.2 EHR Access</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16951">4.2.3 EHR Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16955">4.2.4 Compositions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17102">4.2.5 Directory</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17129">4.3 Change Control in the EHR</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17194">4.3.1 Versioning of Compositions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17205">4.3.2 Versioning Scenarios</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17226">4.4 EHR Creation Semantics</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17228">4.4.1 EHR Identifier Allocation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17233">4.4.2 Creation</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17281">4.5 Time in the EHR</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17374">4.6 Historical Views of the Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17393">4.7 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17394">4.7.1 EHR Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17462">4.7.2 VERSIONED_EHR_ACCESS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17480">4.7.3 EHR_ACCESS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17527">4.7.4 VERSIONED_EHR_STATUS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17545">4.7.5 EHR_STATUS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17590">4.7.6 VERSIONED_COMPOSITION Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17628">5 Composition Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17630">5.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17642">5.2 Context Model of Recording</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17644">5.2.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17668">5.2.2 Composer</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17672">5.2.3 Event Context</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17686">5.2.3.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17721">5.2.3.2 Occurrence in Data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17742">5.2.3.3 Time</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17760">5.2.3.4 Participations</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17765">5.2.3.5 Healthcare Facility, Location and Setting</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17770">5.3 Composition Content</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17809">5.4 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17810">5.4.1 COMPOSITION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17891">5.4.2 EVENT_CONTEXT Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17972">6 Content Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17974">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17985">6.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17988">6.2.1 CONTENT_ITEM Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18020">7 Navigation Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18022">7.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18051">7.2 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18052">7.2.1 SECTION Class</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18110">7.3 Section Instance Structures</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18112">7.3.1 Problem/SOAP Headings</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18146">8 Entry Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18148">8.1 Design Principles</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18150">8.1.1 Information Typology</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18199">8.1.2 Clinical Statement Status and Negation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18242">8.1.3 Standard Clinical Types of Data</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18261">8.1.4 Demographic Data in the EHR</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18282">8.2 Entry and its Subtypes</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18287">8.2.1 The Entry class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18333">8.2.2 Care_entry and Admin_entry</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18373">8.2.3 Observation</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18385">8.2.3.1 Timing in Observations</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18389">8.2.3.2 Valid Contents of a History</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18420">8.2.3.3 Clinical Semantics of Event Time</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18441">8.2.3.4 Two ways of Recording State</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18447">8.2.4 Evaluation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18489">8.2.5 Instruction and Action</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18495">8.2.5.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18535">8.2.5.2 Design Principles</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18555">8.2.5.3 Model Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18592">8.2.5.4 The Standard Instruction State Machine (ISM)</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18645">8.2.5.5 Careflow Process to State Machine Mapping</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18694">8.2.5.6 Clinical Workflow Definition</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18748">8.2.5.7 Relationship to Archetypes</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18786">8.3 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18787">8.3.1 ENTRY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18869">8.3.2 ADMIN_ENTRY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18917">8.3.3 CARE_ENTRY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18943">8.3.4 OBSERVATION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19000">8.3.5 EVALUATION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19055">8.3.6 INSTRUCTION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19103">8.3.7 ACTIVITY Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19149">8.3.8 ACTION Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19184">8.3.9 INSTRUCTION_DETAILS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19225">8.3.10 ISM_TRANSITION Class</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19274">8.4 Instance Structures</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19279">8.4.1 OBSERVATION</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19347">8.4.2 EVALUATION</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19424">8.4.3 INSTRUCTION</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19509">A Glossary</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19511">A.1 openEHR Terms</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19520">A.2 Clinical Terms</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19536">A.3 IT Terms</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19567">B References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19569">B.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19643">B.2 European Projects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19681">B.3 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19704">B.4 GEHR Australia</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19716">B.5 HL7v3</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19727">B.6 OMG</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19730">B.7 Software Engineering</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19751">B.8 Resources</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/ehr_im_img_0.png">
+<IMG width=339 height=223 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/ehr_im_img_1.png">
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>b </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_15768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</TD>
+<TD style="text-align:center; width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>84 </SPAN
+></A>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>08 Apr 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:30px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:30px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, reference model, openehr </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:88px">
+<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; color:#000000"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="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="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:normal; color:#ACACAC"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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; color:#000000"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; 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', sans-serif; font-size:12pt; font-weight:normal; color:#ACACAC"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; 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="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="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="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>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></P>
+<P style="margin-bottom:20px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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="text-align:center; margin-bottom:0px">
+<TR>
+<TH style="width:63px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<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_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<DIV class="Part"
+><H4 ID="LinkTarget_15706">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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: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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:0px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15755" style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:518px">
+<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'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:12pt; 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="text-align:right; 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'; font-size:9.9pt; 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; vertical-align:top; width:105px; height:299px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:354px; height:299px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct Release 1.0 typographical errors. Correct </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>instruction_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> type to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct inheritance of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000201</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add archetype ids to Instruction </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTIVITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000203</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Release 1.0 explanatory text improvements. Minor changes to Entry section. Improved section on “time in the EHR”. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000210</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Remove </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> inheritance from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ISM_TRANSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000130</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct security details in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000218</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to terminology in RM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000244</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Separate </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> path functions into </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PATHA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000246</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR terminology rubrics. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:299px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard M Forss C Ma S Heard T Beale S Heard T Beale G Grieve R Chen T Beale H Frankel B Verhees M Forss </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:299px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Apr 2007 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#9304FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:right; width:354px; 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'; font-size:9.9pt; 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>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15682">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:15px; margin-left:524px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:70px">
+<CAPTION  style="margin-bottom:70px">
+<P style="margin-bottom:70px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:521px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:521px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000014</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Adjust History. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000140</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Redevelop Instruction, based on workflow principles. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000147</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Re-usable. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000162</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow party identifiers when no demographic data. Changes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000164</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve description of use of times in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBSERVA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000174</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add Admin Entry subtype. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000175</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000177</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000180</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSI</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000181</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000182</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Rationalise </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>status. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000187</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct modelling errors in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class and rename. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000188</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>generating_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> function to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ANY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> for use in invariants </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000189</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. New invariants in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000190</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000191</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000194</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct anomalies with </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>uid </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000195</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>all_compositions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>compositions </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000161</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support distributed versioning. Correct identifier types in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:521px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard S Heard T Beale R Chen S Heard T Beale S Heard H Frankel S Heard T Beale S Heard S Heard, D Kalra T Beale S Heard T Beale C Ma D Kalra T Beale T Beale S Heard T Beale H Frankel H Frankel T Beale S Heard T Beale H Frankel </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:521px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Jan 2006 </SPAN
+></TD>
+</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'; font-size:9.9pt; 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>
+<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'; font-size:9.9pt; 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:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.5 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000108</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Minor changes to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000024</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Revert </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>meaning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and rename as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000098</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should allow optional end time. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000109</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>act_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, as in CEN prEN13606. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000116</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> vocabulary and invariant. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000064</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Re-evaluate </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute. Converted </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to a function; added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>category</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000102</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>charset</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> optional. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale S Heard, T Beale S Heard, DSTC A Goodchild T Beale T Beale D Kalra DSTC </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Dec 2004 </SPAN
+></TD>
+</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'; font-size:9.9pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.4.1 </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'; font-size:9.9pt; color:#000000"
+>CR-000096</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow 0..* </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> as </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>content. </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Mar 2004 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:27px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:22px">
+<CAPTION  style="margin-bottom:22px">
+<P style="margin-bottom:22px; line-height:15px">
+<A href="#LinkTarget_15682">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="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'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:153px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:153px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000019</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> &amp; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> supertype. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000028</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change name of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>class to avoid clashes. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000087</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>location</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should be optional. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000088</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>guideline_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000092</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>modelling</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>author</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.4. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:153px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale H Frankel DSTC T Beale, D Kalra S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:153px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>06 Mar 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.10 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000044</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add reverse ref from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_REPOSITORY&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>to owner object. Add invariants to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000046</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COORDINATED_TERM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.9 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000021</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>practice_setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>A Goodchild </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Feb 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.8 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000057</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Environmental information needs to be included in the EHR. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>02 Nov 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000048</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Pre-release review of documents. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000049</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct reference types in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>classes. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>contributions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>all_compositions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>compo</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>sitions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attributes and invariants corrected. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000050</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Update Path syntax reference model to ADL specification. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.6 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>04 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.5 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename key classes, according to CEN ENV 13606. </SPAN
+></TD>
+<TD style="width:87px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.4 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000011</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add author attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000027</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to be compatible with CEN 13606 revision. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, D Kalra </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.3 </SPAN
+></TD>
+<TD style="width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000020</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>territory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000018</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DIRECTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000005</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Jun 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000006</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000007</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Replace </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>subject_relationship </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>with </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000008</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>confidence</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_exceptional</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attributes from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000009</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Merge </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>reasoning</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attributes. </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard, T Beale, D Kalra, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Apr 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC review - typos corrected. </SPAN
+></TD>
+<TD style="width:87px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>A Goodchild </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Apr 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000003</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000004</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ORGANISER_TREE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>  inherit from </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATA</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changes to path syntax. Improved definitions of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>subtypes. Improved instance diagrams. DSTC detailed review. (Formally validated). </SPAN
+></TD>
+<TD style="vertical-align:top; width:87px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun, A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Mar 2003 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:15px; margin-left:524px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:59px">
+<CAPTION  style="margin-bottom:59px">
+<P style="margin-bottom:59px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED_TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class to EHR Package, to correspond better with serialised formalisms like XML. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Changes post CEN WG meeting Rome Feb 2003.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> Moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> postcondition to an invariant. Moved </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> back to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>act_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>attestations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> moved to new </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATIONS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class attached to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSIONED&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard, D Kalra, D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.0.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Various corrections and DSTC change requests. Reverted </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LIST&lt;HISTORY&lt;T&gt;&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY&lt;T&gt; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LIST&lt;STRUCTURE&lt;T&gt;&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TURE&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>other_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to a </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>other_participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; Added </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; removed </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>hcp_legally_responsible</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> (to be archetyped). Replaced </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT_TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PERSISTENT_TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> with </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and a boolean attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:155px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3 Feb 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.0.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Detailed corrections to diagrams and class text from DSTC. </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 Jan 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.0 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Moved </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> classes to Data Structures RM. No semantic changes. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Dec 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.8.2 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Corrections on 3.8.1. No semantic changes. </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Nov 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.8.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SUB_FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. Now folder structure can be nested separately archetyped folder structures, same as for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ORGANISERs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_TA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACQUISITION_TA </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>classes; simplified versioning. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra, D Lloyd A Goodchild </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>28 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.8 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>practice_setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, inspired from HL7v3/ANSI CDA standard Release 2.0. Changed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PLAIN_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>hca_coauthorising</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; renamed </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>hca_recording</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; adjusted all instances of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>*_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>; converted </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CLINICAL_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>start_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>end_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to an interval. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard, D Kalra, M Darlison </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Oct 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed Spatial package to Common RM document. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> back to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ACTION_SPECIFICATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed the class </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>NAVIGABLE_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Renamed </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SPATIAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed classes </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STATE_HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SINGLE_STATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Removed Communication (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>) section to ow document. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Sep 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.6 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Removed Common and Demographic packages to their own documents. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>28 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.5.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Altered syntax of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> identifiers. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Aug 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.5 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Rewrote Demographic and Ehr_extract packages. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.3.1 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Simplified </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> model, numerous small changes from DSTC review. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Aug 2002 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:27px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:70px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="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'; font-size:12pt; 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'; font-size:12pt; 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'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Rewrite of contributions, version control semantics. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd, D Kalra, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Aug 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC comments. Various minor errors/omissions. Changed inheritance of SINGLE_EVENT and SINGLE_STATE. Included </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>STRUCTURE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>subtype methods from GEHR. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>ehr_id </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>added to VT. Altered EHR/FOLDER attrs. Added EXTERNAL_ID.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:87px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, Z Tun </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Jun 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.1.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor corrections. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 May 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Reworking of Structure section, Action class, Instruction class. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 May 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Plans, actions updated. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, S Heard </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 May 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.9 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Additions from HL7v3 coded term model, alterations to quantity model, added explanation sections. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>5 May 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.8.2a </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Interim version with various review 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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>28 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.8.2 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Error corrections to EHR_EXTRACT package. P Schloeffel comments on 2.7. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, P Schloeffel </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Apr 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.8.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Further minor changes from UCL on v2.7. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>24 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.8 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Dipak Kalra (UCL) comments on v2.6 incorporated. Added External Package. Minor changes elsewhere. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>23 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.7 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Final development of initial draft, including EHR_EXTRACT, related models </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.6 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Further development of path syntax, incorporation of Dipak Kalra’s comments </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Kalra </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.5 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Further development of clinical and record management clusters. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Apr 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Included David Lloyd’s rev 2.3 comments. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale, D Lloyd </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4 Apr 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.3 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Improved context analysis. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4 Mar 2002 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.2 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Added path syntax. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>19 Nov 2001 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Minor organisational changes, some content additions. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Nov 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2.0 </SPAN
+></TD>
+<TD style="width:354px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Rewrite of large sections post-Eurorec 2001 conference, Aixen-Provence. Added folder, contribution concepts. </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Nov 2001 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Major additions to introduction, design philosophy </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 Nov 2001 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Major changes to diagrams; STILL UNREVIEWED </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>13 Oct 2001 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Based on GEHR Object Model </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'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Sep 2001 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15682">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:89px">
+<A href="#LinkTarget_15637">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<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_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><DIV class="Sect">
+<H4 ID="LinkTarget_16142" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Thanks to... </SPAN
+></P>
+</DIV>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including University College, London; The Cooperative Research Centres Program through the Department of the Prime Minister and Cabinet of the Commonwealth Government of Australia; Ocean Informatics, Australia. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Andrew Goodchild, senior research scientist at the Distributed Systems Technology Centre, Brisbane provided valuable in-depth comments and insights on all aspects of the model during its early development. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CORBA is a trademark of the Object Management Group </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:703px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.Net is a trademark of 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15700">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16520">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction............................................................................ 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16522">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose.................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16539">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16563">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status....................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16575">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ..........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_16594">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16623">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Background ............................................................................ 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16626">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Requirements .......................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16629">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.1 Original GEHR Requirements.......................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16665">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.2 GEHR Australia Requirements......................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16701">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.3 European Synapses and SynEx Project Requirements ..................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16737">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.4 European EHCR Support Action Requirements............................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16744">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.5 ISO EHR Requirements.................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16748">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1.6 openEHR Requirements ................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16780">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Relationship to other Health Information Models ...............................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16783">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.1 CEN TC/251 prEN13606 ..............................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16814">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.2 HL7 Version 3................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_16819">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.3 OMG HDTF...................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16834">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 The EHR Information Model ............................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_16836">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16869">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 EHR Package.......................................................................... 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16871">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16929">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 The Parts of the EHR ...........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16931">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 Root EHR Object...........................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16935">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 EHR Access...................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16951">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 EHR Status.....................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16955">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.4 Compositions .................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17102">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.5 Directory........................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3 Change Control in the EHR .................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17194">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.1 Versioning of Compositions ..........................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17205">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.2 Versioning Scenarios .....................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17226">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4 EHR Creation Semantics .....................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17228">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.1 EHR Identifier Allocation..............................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17233">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.4.2 Creation..........................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17281">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.5 Time in the EHR ..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17374">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.6 Historical Views of the Record............................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17393">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7 Class Descriptions................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17394">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.1 EHR Class......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17462">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.2 VERSIONED_EHR_ACCESS Class............................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17480">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.3 EHR_ACCESS Class ....................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17527">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.4 VERSIONED_EHR_STATUS Class.............................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17545">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.5 EHR_STATUS Class .....................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_17590">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.7.6 VERSIONED_COMPOSITION Class..........................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17628">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 Composition Package ............................................................ 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17630">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview..............................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:39px">
+<A href="#LinkTarget_17642">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Context Model of Recording ...............................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="margin-bottom:10px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<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_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17644">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.1 Overview.......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17668">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.2 Composer ......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17672">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.3 Event Context................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17770">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.3 Composition Content........................................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17809">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17810">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.1 COMPOSITION Class..................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_17891">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.2 EVENT_CONTEXT Class ........................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17972">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>6 Content Package .................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17974">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview ............................................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17985">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_17988">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.1 CONTENT_ITEM Class...............................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18020">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 Navigation Package................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18022">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1 Overview ............................................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18051">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2 Class Descriptions ............................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18052">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.1 SECTION Class ............................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18110">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.3 Section Instance Structures.................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_18112">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.3.1 Problem/SOAP Headings..............................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18146">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>8 Entry Package ........................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18148">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1 Design Principles................................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18150">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.1 Information Typology ................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18199">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.2 Clinical Statement Status and Negation ........................................ 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18242">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.3 Standard Clinical Types of Data.................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18261">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.1.4 Demographic Data in the EHR...................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18282">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2 Entry and its Subtypes.........................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18287">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.1 The Entry class..............................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18333">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.2 Care_entry and Admin_entry........................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18373">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.3 Observation ...................................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18447">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.4 Evaluation...................................................................................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18489">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.2.5 Instruction and Action...................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18786">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3 Class Descriptions ............................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18787">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.1 ENTRY Class................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18869">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.2 ADMIN_ENTRY Class................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18917">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.3 CARE_ENTRY Class ...................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18943">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.4 OBSERVATION Class ..................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19000">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.5 EVALUATION Class....................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19055">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.6 INSTRUCTION Class................................................................... 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19103">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.7 ACTIVITY Class ..........................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19149">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.8 ACTION Class .............................................................................. 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19184">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.9 INSTRUCTION_DETAILS Class ................................................ 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19225">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.3.10 ISM_TRANSITION Class ............................................................ 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19274">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.4 Instance Structures............................................................................... 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19279">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.4.1 OBSERVATION............................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19347">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.4.2 EVALUATION..............................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_19424">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8.4.3 INSTRUCTION ............................................................................ 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19509">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A Glossary .................................................................................. 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:39px">
+<A href="#LinkTarget_19511">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 openEHR Terms ..................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19520">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.2 Clinical Terms......................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:6px">
+<A href="#LinkTarget_19536">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.3 IT Terms...............................................................................................7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19567">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>B References............................................................................... 8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19569">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.1 General.................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19643">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.2 European Projects ................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19681">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.3 CEN .....................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19704">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.4 GEHR Australia...................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19716">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.5 HL7v3 ..................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19727">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.6 OMG ....................................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19730">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.7 Software Engineering ..........................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:726px">
+<A href="#LinkTarget_19751">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>B.8 Resources .............................................................................................8</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Introduction </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16520">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16522">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR Information Model, which is a model of an interoperable EHR in the ISO RM/ODP information viewpoint. This model defines a logical EHR information architecture rather than just an architecture for communication of EHR extracts or documents between EHR systems. The openEHR definition of the EHR Extract is given in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR_EXTRACT Information Model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16539">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; margin-right:306px; text-indent:36px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common Information Model Other documents describing related models, include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR_EXTRACT Information Model </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Demographic Information Model </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16563">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/ehr_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/ehr_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/ehr_im.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/ehr_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/ehr_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/ehr_im.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16575">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </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_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main content. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16594">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:758px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is determined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, automated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:959px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Introduction </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Background Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16623" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Background </SPAN
+></H2>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This section describes the inputs to the modelling process that created the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Information Model. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16626">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are broadly three sets of requirements which inform this model, as described in the following subsections. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16629" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Original GEHR Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_19659">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>From the European GEHR project (1992-5; [22]), the following broad requirements areas were iden</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tified: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the life-long EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>priority: Clinician / Patient interaction; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>medico-legal faithfulness, traceability, audit-trailing; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>technology &amp; data format independent; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>facilitate sharing of EHRs; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>suitable for both primary &amp; acute care; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>secondary uses: education, research, population medicine</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open standard &amp; software deliverables</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The original deliverables can be reviewed in detail at the </SPAN
+><A href="http://www.chime.ucl.ac.uk">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>GEHR page at CHIME, UCL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16665" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>GEHR Australia Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The GEHR Australia project (1997-2001; </SPAN
+><A href="#LinkTarget_19704">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[35], </SPAN
+></A>
+<A href="#LinkTarget_19710">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[36]) introduced further requirements, including: </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>support for clinical data structures: lists, tables, time-series etc; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>safer information model than the original (European) GEHR: context attributes only in valid places (but still similar style); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>separate groups for “persistent”, “demographic” and “event” information in EHR, which corresponds closely to real clinical querying patterns; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>introduction of formally specified archetypes, and archetype-enabled information model; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>interoperability at the knowledge level, i.e. level of domain definitions of information such as “discharge summary” and “biochemistry result”; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>XML-enabled; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>consider compatibility with CEN 13606, Corbamed, HL7v3. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Australia produced a proof of concept implementation in which clinical archetypes were developed and used. See </SPAN
+><A href="#LinkTarget_19575">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[3]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for a technical description of archetypes. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16701" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>European Synapses and SynEx Project Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<A href="#LinkTarget_19672">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Following the original Good European Health Record project the EU-funded Synapses (1996-8; [28]) </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and SynEx (1998-2000; </SPAN
+><A href="#LinkTarget_19635">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[16]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) projects extended the original requirements basis of GEHR to include further requirements, as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the requirements of a federation approach to unifying disparate clinical databases and EPR systems: the federated health record (FHR) </SPAN
+><A href="#LinkTarget_19674">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[29]; </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Background </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the need to separate a generic and domain independent high-level model for the federated health record from the (closely related) model of the meta-data which defines the domain specific health record characteristics of any given clinical specialty and any given federation of database schemata; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a formalism to define and communicate (share) knowledge about the semantic hierarchical organisation of an FHR, the permitted data values associated with each leaf node in a record hierarchy and any constraints on values that leaf nodes may take (the Synapses Object Dictionary) </SPAN
+><A href="#LinkTarget_19676">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[30]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:15px; margin-left:60px; text-indent:-23px">
+<A href="#LinkTarget_19672">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the core technical requirements of and interfaces for a federation middleware service [28]. </SPAN
+></A>
+</LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16737" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>European EHCR Support Action Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This EU Support Action project (“SupA”; </SPAN
+><A href="#LinkTarget_19644">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[20]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><A href="#LinkTarget_19653">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[21], </SPAN
+></A>
+<A href="#LinkTarget_19660">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[23]) consolidated the requirements published </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>by a wide range of European projects and national health informatics organisations as a Consolidated List of Requirements </SPAN
+><A href="#LinkTarget_19643">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[19]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16744" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO EHR Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The above requirements publications and the recent experience of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR feed into the definition of a set of EHR requirements authored by ISO Technical Committee 215 (Health Informatics) - ISO TS 18308. The present draft </SPAN
+><A href="#LinkTarget_19614">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[15] has been reviewed by the authors of this document and </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR will seek to maintain a close mapping between its information models and services and this international requirements work. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR mapping to ISO 18308 can be found on the openEHR web-site. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16748" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.1.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>New requirements generated during the development of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR included the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>major improvements in information models from the point of view of reducing progammer errors and ambiguity; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>better modelling of time and context (temporal/spatial approach); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>better understanding of legacy system / federation problem; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>workflow modelling; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>harmonise with CEN EN 13606; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>integration with HL7v2 and other messaging systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>numerous specific clinical requirements. </SPAN
+></LI>
+</ul>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16780">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Relationship to other Health Information Models </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where relevant, the correspondences to other information models have been documented in this specification. Correspondences to the GEHR Australia and EU Synapses/SynEx models are shown, since these are the models on which the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR information model is primarily based. The following sections summarise the other models and standards with which correspondences are shown. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16783" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CEN TC/251 prEN13606 </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These models have been influenced by and have also influenced the models in CEN prEN13606 (2005 revision); accordingly, relationships to 13606 have been documented fairly precisely. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Since January 2002, the prEN13606 prestandard has been the subject of significant revision, as part of its transition to a full European Standard (“EN”). This work has been influenced by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:46px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Background Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>specifications, and has itself been a source of further insights and changes to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specifications. Particular areas of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR which have been changed due to this process include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change of major class names (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TRANSACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> -&gt; </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> etc; see CR-000013); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>improved model of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (see CR-000025); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>improved model of feeder audits (see CR-000027). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Implementation experience with Release 0.9 and 0.95 of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR has further improved these areas significantly. Nevertheless, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is not a copy of CEN, for two reasons. Firstly, its scope includes systems, while EN13606 defines an EHR Extract; secondly, EN13606 suffers somewhat from “design by committee”, and has no formal validation mechanism for its models. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16814" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>HL7 Version 3 </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Correspondences to some parts of HL7 version 3 (ballot 5, July 2003) are also documented where possible, however, it should be understood that there are a number of difficulties with this. Firstly, while the HL7v3 Reference Information Model (RIM) - the closest HL7 artifact to an information model - provides similar data types and some related semantics, it is not intended to be a model of the EHR. In fact, it differs from the information model presented here (and for that matter most published information models) in two basic respects: a) it is an amalgam of semantics from many systems which would exist in a distributed health information environment, rather than a model of just one (the EHR); b) it is also not a model of data, but a combination of “analysis patterns” in the sense of Fowler </SPAN
+><A href="#LinkTarget_19748">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[46]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from which further specific models - subschemas - are developed by a custom process of “refinement by restriction”, in order to arrive at message definitions. As a consequence, data in messages are not instances of HL7v3 RIM classes, as would be the case in other systems based on information models of the kind presented here. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Despite the differences, there are some areas that appear to be candidates for mapping, specifically the data types and terminology use, and the correspondence between </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Compositions and parts of the HL7 Clinical Document Architecture (CDA). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16819" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OMG HDTF </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:290px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In general, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR information models represent a more recent analysis of the required semantics of EHR and related information than can be found in the information viewpoint of the OMG HDTF specifications (particularly PIDS and COAS). However, the computational viewpoint (i.e. functional service interface definitions) is one of the inputs to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR srevice model develpment activity. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>The EHR Information Model </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16834">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>The EHR Information Model </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16836">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:6px">
+<A href="#LinkTarget_16845">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the package structure of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR information model. </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:46px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>composition content </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:37px; line-height:46px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>ehr </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>entry </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>navigation </SPAN
+></P>
+<IMG width=460 height=213 style="display:block; float:none; text-align:center; margin-bottom:12px" src="images/ehr_im_img_2.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The packages are as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ehr</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: This package contains the top level structure, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which consists of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object, an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object, versioned data containers in the form of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, optionally indexed by a hierarchical directory of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FOLDERs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. A collection of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTRIBUTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which document the changes to the EHR over time is also included. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>composition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: The Composition is the EHR’s top level “data container”, and is described by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: This package contains the Navigation and Entry packages, whose classes describe the structure and semantics of the contents of Compositions in the health record. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:125px; text-indent:-30px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>navigation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class provides a navigational structure to the record, similar to “headings” in the paper record. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and other </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can appear under </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:125px; text-indent:-30px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: This package contains the generic structures for recording clinical statements. Entry types include </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADMIN_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for all observed phenomena, including mechanically or manually measured, and responses in interview), </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (for assessments, diagnoses, plans), </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (actionable statements such as medication orders, recalls, monitoring, reviews), and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(information recorded as a result of performing Instructions). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:148px; line-height:19px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 2</SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates an overview of the class structure of the EHR Information Model, along with the main concepts on which they rely, namely Data Types, Data Structures, Archetyped, and Identification. </SPAN
+></P>
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<IMG width=639 height=923 style="display:block; float:none; text-align:center; margin-bottom:15px" src="images/ehr_im_img_3.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR Information Model Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16869">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>EHR Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16871">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:264px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR is structured according to a relatively simple model. A central EHR object identified by an EHR id specifies references to a number of types of structured, versioned information, plus a list of Contribution objects that act as audits of change-sets made to the EHR. The high-level structure of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR is shown in </SPAN
+><A href="#LinkTarget_16875">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:498px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Compositions </SPAN
+></P>
+<IMG width=419 height=308 style="display:block; float:none; text-align:center; margin-bottom:15px; margin-right:145px; margin-left:86px" src="images/ehr_im_img_4.png">
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In this figure, the parts of the EHR are as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the root object, identified by a globally unique EHR identifier; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR_access (versioned)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an object containing access control settings for the record; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR_status (versioned)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an object containing various status and control information, optionally including the identifier of the subject (i.e. patient) currently associated with the record; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Directory (versioned)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an optional hierarchical structure of Folders that can be used to logically organise Compositions; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Compositions (versioned)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the containers of all clinical and administrative content of the record; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Contributions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the change-set records for every change made to the health record; each Contribution references a set of one or more Versions of any of the versioned items in the record that were committed or attested together by a user to an EHR system. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:64px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ehr</SPAN
+><A href="#LinkTarget_16927">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is illustrated in FIGURE 4. The classes have a more or less one-to-one correspond</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ence with the objects shown in </SPAN
+><A href="#LinkTarget_16875">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3. Each versioned object of type </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>XXX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is defined by a class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_XXX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is a binding of the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>XXX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to the generic type paremeter T in the generic type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (while such bindings do not strictly require classes of their own, they facilitate implementation in languages lacking genericity). </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:50px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=616 height=423 style="display:block; float:none; text-align:center; margin-bottom:49px" src="images/ehr_im_img_5.png">
+<P style="text-align:justify; margin-bottom:0px; margin-left:46px; text-indent:167px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>VERSIONED_FOLDE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>R 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.change_control</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>) 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:76px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>CONTRIBUTION </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.directory) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:205px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.ehr Package </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16929" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>The Parts of the EHR </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16931" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Root EHR Object </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The root EHR object records three pieces of information that are immutable after creation: the identifier of the system in which the EHR was created, the identifier of the EHR (distinct from any identifier for the subject of care), and the time of creation of the EHR. Otherwise, it simply acts as an access point for the component parts of the EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>References rather than containment by value are used for the relationship between the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_XXX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects, reflecting the vast majority of retrieval scenarios in which only selected (usually recent) items are needed. Containment by value would lead to systems which retrieved all </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_XXX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects every time the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object was accessed. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16935" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Access </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:30px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Access control settings for the whole EHR are specified in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object. This includes default privacy policy, lists of identified accessors (individuals and groups) and exceptions to the default policies, each one identifying a particular Composition in the EHR. All changes to the EHR Access object are versioned via the normal mechanism, ensuring that the visible view of the EHR at any previous point in time is reconstructable. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Because security models for health information are still in their infancy, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model adopts a completely flexible approach. Only two hard-wired attributes are defined in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. The first is the name of the security scheme currently in use, while the second (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>settings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute) is an object containing the access settings for the EHR according to that particular scheme. Each scheme is defined by an instance of a subclass of the abstract class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACCESS_CONTROL_SETTINGS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, defined in the Security Information Model. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16951" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object contains a small number of hard-wired attributes, and an archetyped ‘other_details’ part. The former are used to indicate who is (currently understood to be) the subject of the record, and whether the EHR is actively in use, inactive, and whether it should be considered queryable. As for elsewhere in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR, the subject is represented by a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object, enabling it to be made completely anonymous, or alternatively to include a patient identifier. The subject is included in the EHR Status object because it can change, due to errors being discovered in the allocation of records to patients. If the anonymous form is used, the change will be made elsewhere in a cross-reference table; otherwise the EHR Status object will be updated. Because it is versioned, all such changes are audit-trailed, and the change history can be reconstructed. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other EHR-wide meta-data may be recorded in the archetyped part of this object, including runtime environment settings, software application names and version ids, identification and versions of data resources such as terminologies and possibly even actual software tools, configuration files, keys and so on. Such information is commonly versioned in software configuration management systems, in order to enable the reconstruction of earlier versions of software with the correct tools. One reason to store such information at all is that it adds to medico-legal support when clinicians have to justify a seemingly bad decision: if it can be shown that the version of software in use at the time was faulty, they are protected, but to do this requires that such information be recorded in the first place. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16955" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Compositions </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The main data of the EHR is found in its Compositions. The Composition concept in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR originated from the Transaction concept of the GEHR project </SPAN
+><A href="#LinkTarget_19662">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[24]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><A href="#LinkTarget_19666">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[25], </SPAN
+></A>
+<A href="#LinkTarget_19668">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[26]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><A href="#LinkTarget_19670">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[27]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which was based on the concept of a unit of information corresponding to the interaction of a healthcare agent with the EHR. It was originally designed to satisfy the following needs (which include the well-</SPAN
+><A href="#LinkTarget_19600">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>known ACID characteristics of transactions [10]): </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>durability</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need for a persistent unit of information committal in the record; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>atomicity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need for a minimal unit of integrity for clinical information, corresponding to a minimal unit for committal, transmission and security; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>consistency</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need for contributions to the record to leave the record in a consistent state; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>isolation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need for contributions to the record by simultaneous users not to interfere with each other; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>indelibility</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the requirement that information committed to the record be indelible in order to support later investigations, for both medico-legal and process improvement purposes, and the consequent requirement to be able to access previous states of the record; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>modification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need for users to be able to modify EHR contents, in order to correct errors or update previously recorded information (e.g. current medications, family history); and </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:59px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>traceability</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the need to record adequate auditing information at committal, in order to provide clinical and legal traceability. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Transaction concept was later been renamed to “Composition”, which is the name of the equivalent concept in the current CEN EN13606, and it has been expanded and more formally defined in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR in two ways. Firstly, the idea of a unit of committal has been formalised by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model of change control (see the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common Information Model); how this applies to the EHR and compositions is described below. Secondly, the informational purpose of a Composition is no longer just to contain data from a passing clinical event such as a patient contact, but also to capture particular categories of clinical data which have long-lived significance, such as problem and medication lists. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Experience with health information systems, including the GEHR (Australia) project, SynEx, Synapses, and inspection of common commercial systems, has shown that there are two general categories of information at the coarse level which are found in an EHR: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>event </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>items, and longitudinal, or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items, of which there are various kinds. </SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Event Compositions </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Events record what happens during healthcare system events with or for the patient, such as patient contacts, but also sessions in which the patient is not a participant (e.g. surgery) or not present (e.g. pathology testing). </SPAN
+><A href="#LinkTarget_17022">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a simple EHR comprising an accumulation of event Compositions. </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>visit 1/4/1999 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>test results 1/2/2000 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>admission </SPAN
+></P>
+<P style="text-align:; margin-bottom:6px; margin-right:11px; margin-left:340px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>review </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>22/11/2000 </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-left:329px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>25/11/2000 </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:13px">
+<TR>
+<TH style="width:64px; height:37px; border-style:solid; border-color:#000000; border-width:2px 9px 2px 2px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>contact 22/11/2000 </SPAN
+></TH>
+<TH style="width:77px; height:37px; border-style:solid; border-color:#000000; border-width:2px 10px 2px 9px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>radiology 22/11/2000 </SPAN
+></TH>
+<TH style="vertical-align:middle; width:77px; height:37px; border-style:solid; border-color:#000000; border-width:2px 2px 2px 10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>surgery 24/11/2000 </SPAN
+></TH>
+</TR>
+</TABLE>
+<P style="margin-bottom:6px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Basic Event-oriented EHR </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An important job of the event Composition is to record not only the data from the healthcare event, such as observations on the patient, but also to record the event context information, i.e. the who, when, where and why of the event. For this reason, a specific class representing clinical context is associated with event compositions in the formal model. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Persistent Compositions </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In a more sophisticated EHR, there is also a need to record items of long-term interest in the record. These are often separated by clinicians into well-known categories, such as: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Problem list </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current medications </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Therapeutic precautions </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Vaccination history </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Patient preferences </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifestyle </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Family history </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Social history </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Care plan </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:53px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Persistent Compositions can be thought of as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>proxies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for the state or situation of the patient - together they provide a picture of the patient at a point in time. For example, the meaning of the “medication list” Composition is always: this is the list of medications currently being taken by patient X. Similarly for the other persistent Composition types given above. In scientific philosophy, the kind of information recorded in a persistent Composition is known as a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>continuant</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (see e.g. the KR ontology </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in Sowa </SPAN
+><A href="#LinkTarget_19612">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[14]). This is in contrast with event Compositions, which do not generally record continu</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ants, but instead record </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>occurrents</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, i.e. things that were true or did happen but have no longevity. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Over time, the number of event Compositions is likely to far outstrip the number of persistent Compositions. </SPAN
+><A href="#LinkTarget_17096">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 6</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates an EHR containing persistent information as well as event information. </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:18px">
+<SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#63D16C"
+>problem list </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#63D16C"
+>family history </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#63D16C"
+>current medications </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#63D16C"
+>therapeutic precautions </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#63D16C"
+>social history </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>visit 1/4/1999 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>test results 1/2/2000 </SPAN
+></P>
+<DIV class="Sect">
+<H5>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>admission </SPAN
+></H5>
+<P style="text-align:; margin-bottom:10px; margin-right:11px; margin-left:340px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>review </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>22/11/2000 </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-left:329px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>25/11/2000 </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:12px">
+<TR>
+<TH style="width:64px; height:37px; border-style:solid; border-color:#000000; border-width:2px 9px 2px 2px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>contact 22/11/2000 </SPAN
+></TH>
+<TH style="width:77px; height:37px; border-style:solid; border-color:#000000; border-width:2px 10px 2px 9px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>radiology 22/11/2000 </SPAN
+></TH>
+<TH style="vertical-align:middle; width:77px; height:37px; border-style:solid; border-color:#000000; border-width:2px 2px 2px 10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; color:#157AFF"
+>surgery 24/11/2000 </SPAN
+></TH>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>An EHR containing Event and Persistent Compositions </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In any clinical session, an event composition will be created, and in many cases, persistent composi</SPAN
+><A href="#LinkTarget_17129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tions will be modified. How this works is described below under Change Control in the EHR on page </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<A href="#LinkTarget_17129">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>25</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17102" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Directory </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As Compositions accumulate over time in the EHR, they form a long-term patient history. An optional directory structure can be used in the EHR to organise Compositions using a hierarchy of Folders in much the same way files in a file system are visualised by the directory Explorer tool on Windows and other platforms. In the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model, Folders do not contain Compositions by value but by reference. More than one Folder can refer to the same Composition. Folders might be used to manage a simple classification of Compositions, e.g into event and persistent, or they might be used to create numerous categories, based on episodes or other groupings of Compositions. Folder structures can be archetyped. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A simple structure showing Folders referencing Compositions is shown in </SPAN
+><A href="#LinkTarget_17124">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7, in which the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>following folders are used: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a composition containing clinically relevant demographic data of the patient; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: compositions containing information which is valid in the long term; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Event</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: compositions containing information whose currency is limited to the short term after the time of committal; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Episode_xxx</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rather than using a single ‘event’ folder, it may be convenient to group event compositions into episodes (periods of treatment at a health care facility relating to one or more identified problems) and/or other categories such as on the basis of type of healthcare (orthodox, homeopathic, etc). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A justification for these particular categories is based on patterns of access. The persistent category consists of a dozen or so compositions described above, and which are continually required by querying (particularly lifestyle, current problems and medications). The event category consists of clinical data whose relevancy fades fairly quickly, including most measurements made on the patients or in pathology. Compositions in this category are thus potentially very numerous over the patient’s lifetime, but of decreasing relevance to the clinical care of the patient in time; it therefore makes sense to separate them from the persistent compositions. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Regardless of the folder structure used, the folder concept in itself poses no restrictions, nor does it add any clinical meaning to the record - it simply provides a logical navigational structure to the </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:39px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=620 height=452 style="display:block; float:none; text-align:center; margin-bottom:-3px" src="images/ehr_im_img_6.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“lumps” of information committed to the record (remembering that inside compositions, there are other means of providing fine-grained structure in entries). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Note that neither the Folder names nor the Composition names described and illustrated above are part of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR reference model: all such details are provided by archetypes; hence, EHR structures based on completely different conceptions of division of information, or even different types of medicine are equally possible. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The EHR directory is maintained in its own versioned object, ensuring that changes to the classification structure of the Compositions are versioned over time in the same way as changes to the EHR content. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17129">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Change Control in the EHR </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Given an EHR in which there is an EHR Access object, EHR Status object, Event and Persistent Compositions, and possibly a directory structure, the general model of update of the EHR is that any of these might be created and/or modified during an update. The simplest, most common case is the creation of a single contact Composition. Another common case will be the creation of an Event Composition, and modification of one or more Persistent Compositions, e.g. due to facts learned in the consultation about family history, or due to prescription of new medications. Other types of updates include corrections to existing Compositions, and acquisition of Compositions from another site such as a hospital. Any of these updates might also include a change to the folder structure, or the moving of existing Compositions to other Folders. Naturally these scenarios depend on a structure of the record including event and persistent compositions, and a folder structure. In the extreme, an EHR consisting only of event Compositions and no Folders will experience only the creation of a single </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition for most updates, with acquisitions being the exception. Less often, updates will be made to the EHR Access and EHR Status objects, according to the management and access control needs of the patient and health care providers. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In general, the following requirements must always be met, regardless of the particular changes made at any one time: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the record should always be in a consistent informational state; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>all changes to the record be audit-trailed; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>all previous states of the record be available for the purposes of medico-legal investigation. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These requirements are satisfied in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR via the use of the change control and versioning facilities defined in the Common Information Model. A key facet of the approach is the use of change-sets, known as Contributions in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><A href="#LinkTarget_17162">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. Applied to the EHR, they can be visualised as shown in FIG</SPAN
+></A>
+<A href="#LinkTarget_17162">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URE 8</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+></P>
+<IMG width=604 height=424 style="display:block; float:none; text-align:center; margin-bottom:5px" src="images/ehr_im_img_7.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Contributions to the EHR </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:24px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The first is due to a patient contact, and causes the creation of a new contact composition; it also causes changes to the problem list, current medications and care plan compositions (once again, in a differently designed record, all this information might have been contained in a single event Composition; likewise, it might be been distributed into even more Compositions). </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:24px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The next Contribution is the acquisition of test results from a pathology laboratory. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:53px; margin-left:24px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The third is another contact in which both family history and the folder structure are modified. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This fourth is an error correction (e.g. a mispelled name, wrongly entered value), and shows that there can be a Contribution even when there is no healthcare event. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; text-indent:36px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The last is an update to the EHR status information in the EHR, due to a software upgrade. The list of Contributions made to a record is recorded along with changes to the data, so that not only </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>are changes to top-level objects (EHR Acces, Composition etc) captured, but the list of changes forming a change set due to a user commit is always known as well. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17194" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Versioning of Compositions </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Versioning of Compositions is achieved with the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package (Common IM), which in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>composition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package is explicitly bound to the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, via the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which inherits from the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<A href="#LinkTarget_17202">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The effect of version control on Compositions is visualised in FIGURE 9. The versions (each “ver</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sion” being a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) shown here in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are the same versions </SPAN
+><A href="#LinkTarget_17162">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>shown along each vertical line in FIGURE 8, this time shown with their associated audit items. The </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>set of versions should be understood as a set of successive modifications of the same data in time. </SPAN
+></P>
+<IMG width=477 height=145 style="display:block; float:none; text-align:center; margin-bottom:5px" src="images/ehr_im_img_8.png">
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>The versioned composition </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can be thought of as a kind of smart repository: how it stores successive versions in time is an implementation concern (there are a number of intelligent algorithms available for this sort of thing), but what is important is that its functional interface enables any version to be retrieved, whether it be the latest, the first, or any in between. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17205" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Versioning Scenarios </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following scenarios for creating new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> versions have been identified as follows. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Case 0</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: information is authored locally, causing the creation of a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. If this is the first version, a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>will be created first. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Case 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: information is modified locally, such as for the correction of a wrongly entered datum in a composition. This causes the creation of a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in an existing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, in which the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is set to “correction”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:59px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Case 2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: information received from a feeder system, e.g. a test result, which will be converted and used to create a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This kind of acquisition could be done automatically. If the receiver system needs to store a copy of the original feeder system audit details, it writes it into the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Case 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (such as a family history) received as part of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_EXTRACT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from another </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system, which will be used by a local author to create a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> that includes some content chosen from the received item. In this case, the new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is considered as a locally authored one, in which some content has been obtained from elsewhere. If it is the first version, a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is first created. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> documents the committal of this content, and the clinician may choose to record some details about it in the audit </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In summary, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>AUDIT_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is always used to document the addition of information locally, regardless of where it has come from. If there is a need to record original audit details, they become part of the content of the versioned object. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17226" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>EHR Creation Semantics </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17228" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Identifier Allocation </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHRs are created due to two types of events. The first is a new patient presenting at the provider institution. An EHR may be created due to this event, without reference to any other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHRs that may exist in the broader community or jurisdiction. In this case, the EHR will be allocated a new, globally unique EHR id. This establishes the new EHR as an intentional clone of the source EHR (or more correctly, part of the family of EHRs making up the virtual EHR for that patient). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>On the other hand, an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR may be created in an organisation as a logical clone (probably partial) of an EHR for the patient in some other system. This might happen as a normal part of the front-desk registration / admission process, i.e. the local EHR system is able to interrogate an EHR location service and discover if any other EHR exists for this patient, or it may occur due to purely electronic communications between two providers, i.e. the EHR is created because an Extract of an EHR hs been sent from elsewhere as part of a referral or similar communication. In this second case, the EHR id should be a copy of the EHR id from the other institution. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In theory such a scheme could guarantee one EHR id per patient, but of course in reality, various factors conspire against this, and it can only approximate it. For one thing, it is known that providers routinely create new EHRs for a patient regardless of how many other EHRs already exist for that patient, simply because they have no easy way to find out about those EHRs. Ideally, this situation would be improved in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR world, but due to reliance on such things as distributed services and reliable person identification, there are no guarantees. The best that can be said is that the EHR id allocation scheme can help support an ideal EHR id-per-patient situation if and when it becomes possible. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17233" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Creation </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:45px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When an EHR is created, the result should be a root EHR object, an EHR Status object, and an EHR Access object, plus any other house-keeping information the versioning implementation requires. In a normal implementation, the EHR Status and EHR Access objects would normally be created and committed in a Contribution, just as any Composition would be. The EHR Status object has a special status in the EHR, indicating whether the EHR should be included in querying, whether it is modifiable, and by implication, whether it is active. Flags might be set to indicate that it is test record, or for educational or training purposes. The initial creation operation has to supply sufficient parameters for creation of these two objects, including: </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>system id </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR id </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Subject id (optional; the use of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> allows completely anonymous EHRs) </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>queryable flag </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>modifiable flag </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any other flags required by the EHR Status object in the local implementation. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The EHR id will either be a new globally unique identifier, in the case of first time EHR creation for this patient in the health system, or else the same identifier as an existing EHR for the same subject in another system, in the case of an EHR move or copy. The effect of EHR copying / synchronising between systems is that EHRs with the same identifier can be found within multiple systems. However if the same patient presented at multiple provider locations with no EHR sharing capability, a new EHR with a unique identifier will be created at each place. If a later request for copying occurs </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> due to a request for an EHR Extract) between two providers, the requesting institution will perform the merge of the received copy into the existing EHR for the same patient. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The main consequences in a distributed environment are as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>multiple EHR ids for a given patient indicate a mobile patient, but lack of systematic EHR sharing; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>one EHR id everywhere for the patient indicates a seamlessly integrated distributed environment, most likely with a global identification service. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Note that the first situation is not a problem, and is not the same as the situation in which two EHRs are identified as being for different patients (i.e. subject id rather than EHR id is different) when in fact they are for the same person. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17281">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Time in the EHR </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are numerous times recorded in the EHR, at varying levels of granularity. Certain times are a guaranteed by-product of the scientific investigation process, including time of sampling or collection; time of measurement, time of a healthcare business event, time of data committal. The following figure indicates these times with respect to Observation recordings (generally the most numerous) in the EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The top part of </SPAN
+><A href="#LinkTarget_17372">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 10 shows the relationship of times typical for a physical examination at a GP </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>visit. The lower part of the figure shows different relationships common in radiology and microbiology, where the sample (imaging or specimen collection) time can be quite different from the time of assessment and reporting of the sample. The times shown in </SPAN
+><A href="#LinkTarget_17372">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 10</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> have a close correspondence </SPAN
+><A href="#LinkTarget_17642">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>with the contexts described in Context Model of Recording on page 35; they also have (as shown) </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>concrete attributes in the reference model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:89px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other times to do with diagnoses (time of onset, time of resolution, time of last episode) and medication management (time started taking medication, time stopped, time suspended, etc) are specific to the particular type of information (e.g. diagnosis versus prognosis versus recommendation) and are generally represented as archetyped date/time values within Evaluation objects. Basic timing information is modelled concretely in the Instruction and Action Entry types, while archetyping is used to express timing information that is specific to particular content. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:33px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:6px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>generall</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>y 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>= instant even</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>t 
+</SPAN
+></P>
+<IMG width=127 height=24 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/ehr_im_img_9.png">
+<P style="text-align:justify; margin-bottom:-2px; margin-right:230px; margin-left:183px; text-indent:19px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>sample/ m</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>easurement/ collection time reporting time </SPAN
+></P>
+<DIV class="Sect">
+<H5 style="margin-bottom:0px; margin-left:232px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#0000FF"
+>observation </SPAN
+></H5>
+<P style="text-align:justify; margin-bottom:15px; margin-left:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Real-world </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:134px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#2AA200"
+>healthcare event </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:545px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>commit </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:15px; margin-left:36px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>activities </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:33px; margin-left:421px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF0000"
+>data entry </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:82px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>COMPOSITION. </SPAN
+><IMG width=8 height=9 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:82px" src="images/ehr_im_img_10.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>OBSERVATION. </SPAN
+><IMG width=8 height=9 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:82px" src="images/ehr_im_img_11.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#527878"
+>time-lag recorded in </SPAN
+><IMG width=8 height=8 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:82px" src="images/ehr_im_img_12.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>COMPOSITION. </SPAN
+><IMG width=8 height=11 style="vertical-align:text-bottom; margin-bottom:125px; margin-left:82px" src="images/ehr_im_img_13.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>VERSION. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>context.start_time </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>data.origin </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#527878"
+>archetyped attribute in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>context.end_time </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>audit.time </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>EHR </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; margin-left:12px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>record </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; margin-left:298px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#527878"
+>OBSERVATION.data </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:298px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#527878"
+>if relevant </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>imaging </SPAN
+><IMG width=312 height=47 style="vertical-align:text-bottom; margin-bottom:0px" src="images/ehr_im_img_14.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>report </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>commit </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; margin-left:30px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>radiology </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; margin-left:371px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#FF0000"
+>data entry </SPAN
+></P>
+<P style="text-align:justify; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#2AA200"
+>radiologist - assess images </SPAN
+></P>
+<IMG width=7 height=11 style="display:block; float:none; text-align:right; margin-bottom:0px" src="images/ehr_im_img_15.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>OBSERVATION. </SPAN
+><IMG width=7 height=9 style="vertical-align:text-bottom; margin-bottom:0px" src="images/ehr_im_img_16.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>COMPOSITION. C</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>OMPOSITION. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>data.origin </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>context.start_time co</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>ntext.end_time </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>EHR </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px; margin-left:12px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>record </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; margin-right:145px; margin-left:442px; text-indent:-2px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>VERSION. audit.time </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>vital </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:413px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>vital </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>vital </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:15px; margin-left:22px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>nurse obs. </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; margin-left:341px; line-height:15px">
+<SPAN style=" font-weight:normal"
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>commit </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>commit</SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>commit </SPAN
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>signs </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>signs </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:410px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>signs </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:15px; margin-left:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(hospital) </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:15px; margin-left:192px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>0100 </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>0500 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:410px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>0900 </SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:-10px; margin-left:5px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>EHR </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; margin-left:89px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>ADMIN_ENTRY </SPAN
+><IMG width=8 height=9 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:89px" src="images/ehr_im_img_17.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>OBSERVATION. </SPAN
+><IMG width=11 height=11 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:89px" src="images/ehr_im_img_18.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>OBSERVATION. </SPAN
+><IMG width=11 height=11 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:89px" src="images/ehr_im_img_19.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>OBSERVATION. </SPAN
+><IMG width=12 height=11 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:89px" src="images/ehr_im_img_20.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>ADMIN_ENTRY </SPAN
+><IMG width=8 height=9 style="vertical-align:text-bottom; margin-bottom:0px; margin-left:89px" src="images/ehr_im_img_21.png">
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:76px; margin-left:89px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>move to ward </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>data.origin data.origin data.origin </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>discharge </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:70px; margin-left:89px; line-height:16px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+>time = ... </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>VERSION. VERSION. VERSION. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#2AA200"
+><Sup>time = ... </Sup></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:210px; line-height:16px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#FF0000"
+>audit.time audit.time audit.time </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:50px; margin-left:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#0000FF"
+>record </SPAN
+></H4>
+<P style="margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Time in the EHR </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17374">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Historical Views of the Record </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:125px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is important to understand that the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> versions at a previous point in time represent a previously available</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> informational state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the EHR, at a particular EHR node. Such previous states include only those Compositions from other sources as have been acquired by that point in time, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>regardless of whether the acquired information pertains to clinical information recorded earlier</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. A previous historical state of the EHR thus corresponds to what users of a system could see at a particular moment of time. It is important to differentiate this from previous </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>clinical</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> states of the patient: previous </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>informational</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> states of the EHR might include acquired information which is significantly older than the point in time when merging occurred. A previous clinical state of the patient would be a derivable view of the EHRs in all locations for the patient -what is sometimes called the virtual EHR - at a given point in time, minus acquired Compositions, since these constitute (usually out-ofdate) copies of Compositions primarily available elsewhere. </SPAN
+></P>
+<IMG width=8 height=9 style="display:block; float:none; text-align:center; margin-bottom:583px" src="images/ehr_im_img_22.png">
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is previous informational states with which we are concerned for medico-legal purposes, since they represent the information actually available to clinicians at a health-care facility, at a point in time. But previous clinical views may be useful for reconstructing an actual sequence of events as experienced by the patient. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17393" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_17394" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:123px">
+<CAPTION  style="margin-bottom:123px">
+<P style="margin-bottom:123px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object is the root object and access point of an EHR for a subject of care. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHCR class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RecordFolder class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_EHR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The id of the EHR system on which this EHR was created. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ehr_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> HIER_OBJECT_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The id of this EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time_created</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time of creation of the EHR </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>contributions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of contributions causing changes to this EHR. Each contribution contains a list of versions, which may include references to any number of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances, i.e. items of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_FOLDER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ehr_access</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object for this EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ehr_status</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object for this EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>directory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional directory structure for this EHR. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:231px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>compositions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List &lt;OBJECT_REF&gt; </SPAN
+></TD>
+<TD style="width:302px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Master list of all composition references in this EHR. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=647 height=292 style="display:block; float:none; text-align:center; margin-bottom:36px" src="images/ehr_im_img_23.png">
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>System_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: system_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Ehr_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: ehr_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Time_created_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: time_created /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Contributions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: contributions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contribu-tions.for_all(type.is_equal(“CONTRIBUTION”)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Ehr_access_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: ehr_access /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ehr_access.type.is_equal(“VERSIONED_EHR_ACCESS”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Ehr_status_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: ehr_status /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ehr_status.type.is_equal(“VERSIONED_EHR_STATUS”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Compositions_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: compositions /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>compositions.for_all(type.is_equal(“VERSIONED_COMPOSITION”)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Directory_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: directory /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>direc-tory.type.is_equal(“VERSIONED_FOLDER”) </SPAN
+></P>
+<P ID="LinkTarget_17462" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSIONED_EHR_ACCESS Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_EHR_ACCESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version container for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instance. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;EHR_ACCESS&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17480" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR_ACCESS Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:79px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR_ACCESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR-wide access contol object. All access decisions to data in the EHR must be made in accordance with the policies and rules in this object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>settings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>ACCESS_CONTROL_SETTING</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>S </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:302px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Access control settings for the EHR. Instance is a subtype of the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>ACCESS_CONTROL_SETTINGS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, allowing for the use of different access control schemes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR_ACCESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>scheme</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The name of the access control scheme in use; corresponds to the concrete instance of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>settings</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Scheme_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: scheme /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> scheme.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17527" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSIONED_EHR_STATUS Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_EHR_STATUS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version container for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EHR_STATUS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;EHR_STATUS&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17545">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR_STATUS Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:79px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:532px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR_STATUS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Single object per EHR giving various EHR-wide information. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:532px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:231px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:302px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The subject of this EHR. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>external_ref </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute can be used to contain a direct reference to the subject in a demographic or identity service. Alternatively, the association between patients and their records may be done elsewhere for security reasons. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_queryable</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this EHR should be included in population queries, i.e. if this EHR is considered active in the population. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_modifiable</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:302px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this EHR is allowed to be written to. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:231px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_details</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:302px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any other details of the EHR summary object, in the form of an archetyped Item_structure. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=647 height=105 style="display:block; float:none; text-align:center; margin-bottom:168px" src="images/ehr_im_img_24.png">
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_archetype_root</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_archetype_root </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Subject_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: subject /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>No_parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: parent = Void </SPAN
+></P>
+<P ID="LinkTarget_17590" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.7.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSIONED_COMPOSITION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:444px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSIONED_COMPOSITION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version-controlled composition abstraction, defined by inheriting </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;COMPOSITION&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_VERSIONED_COMPOSITION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_OBJECT&lt;COMPOSITION&gt; </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether this composition set is persistent; derived from first version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:102px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Archetype_node_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_versions.for_all (archetype_node_id.is_equal(all_versions.first.archetype_node_id)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Persistent_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: all_versions.for_all (is_persistent = all_versions.first.data.is_persistent) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Owner_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: owner_id.generating_type.is_equal(“EHR”) </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_17628">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Composition Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17630">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Composition is the primary ‘data container’ in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR and is the root point of clinical content. Instances of the Composition class can be considered as self-standing data aggregations, or documents in a document-oriented system. The key information in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is found in its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><A href="#LinkTarget_17640">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes. FIGURE 11 illustrates the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>composition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>PATHABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=633 height=441 style="display:block; float:none; text-align:center; margin-bottom:18px" src="images/ehr_im_img_25.png">
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17642" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Context Model of Recording </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17644" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><A href="#LinkTarget_19586">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR model takes account of a systematic analysis of “context”, described in [5]. Con</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>texts in the real world are mapped to particular levels of the information model in a clear way, according to the scheme shown in </SPAN
+><A href="#LinkTarget_17662">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 12. On the left hand side is depicted the context of a data-entry </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>session in which the information generated by a “healthcare event”, containing “clinical statements”, is added to the EHR. A healthcare event is defined as any business activity of the health care system for the patient, including encounters, pathology tests, and interventions. A clinical statement is the minimal indivisible unit of information the clinician wants to record. Clinical statements are shown in the diagram has having temporal and spatial structure as well as data values. Each of these three contexts has its own audit information, consisting of who, when, where, why information. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:50px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=584 height=351 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/ehr_im_img_26.png">
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H2 style="text-align:center; margin-bottom:6px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-stretch:semi-condensed; color:#2AA200"
+>Healthcare Events </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-stretch:semi-condensed; color:#FF0000"
+>Recording Environment </SPAN
+></H2>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>On the right hand side of </SPAN
+><A href="#LinkTarget_17662">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 12, the EHR recording environment is represented. The EHR con</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sists of distinct, coarse-grained items known as Compositions added over time and organised by Folders. Each Composition consists of Entries, organised by Sections within the Composition. The audit information for each context is recorded at the corresponding level of the EHR. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17668" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Composer </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the person who was primarily responsible for the content of the Composition. This is the identifier that should appear on the screen. It could be a junior doctor who did all the work, even if not legally responsible, or it could be a nurse, even if later attested by a more senior clinician; it will be the patient in the case of patient-entered data. It may or may not be the person who entered and committed the data. it may also be a software agent. This attribute is mandatory, since all content must be been created by some person or agent. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Since in many cases Compositions will be composed and committed by the same person, it might seem that two identifiers </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (which are both of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) will be identical. In fact, this will probably not be the case, because the kind of identifier to represent the composer will be a demographic identifier, e.g. “RN Jane Williams”, “RN 12345678”, whereas the identifier in the audit details will usually be a computer system user identifier, e.g. “jane.williams@westmead.health.au”. This difference highlights the different purposes of these attributes: the first exists to identify the clinical agent who created the information, while the second exists to identify the logged-in user who committed it to the system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the situation of patient-entered data, the special “self” </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance (see Common IM </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>generic</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package) is used for both </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>committer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P ID="LinkTarget_17672" style="text-align:justify; margin-bottom:85px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Event Context </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17686" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.2.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Overview </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>event_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is used to document the healthcare event causing new or changed content in the record. Here, ‘healthcare event’ means ‘a (generally billable) business activity of the healthcare system with, for or on behalf of the patient’. Generally this will an encounter involving the subject of care and physician, but is variable in a hospital environment. In this sense, a visit to a GP is a single care event, but so is an episode in a hospital, which may encompass multiple encounters. The information recorded in Event context includes start and (optional) end time of the event, health care facility, setting (e.g. primary care, aged care, hospital), participating healthcare professionals, and optional further details defined by an archetype. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Healthcare events that require an Event_context instance in their recorded information include the following. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Scheduled or booked patient encounters leading to changes to the EHR, including with a GP, hospital consultant, or other clinical professional such as mobile nurse. In this case, the Event context documents the time and place of the encounter, and the identity of the clinical professional. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Case conferences about a patient, leading to modifications to the health record; here the Event context documents the case conference time, place and participants. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pathology, imaging or other test process. In this case, the Event context documents the place and period during which testing and analysis was carried out, and by whom. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Data resulting from care in the home provided by health professional(s) (often allied health care workers). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Situations in which Event context is optional include the following. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Nurse interactions with patients in hospital, including checking vital signs, adjusting medication or other aspects of bed situation for the patient. Each instance of a nurse’s observations are generally not considered to be a separate ‘care event’, rather they are seen as the continuation of the general activities of monitoring. In such situations, the overall context is given by </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADMIN_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances in the record indicating date/time and place of admission and discharge. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Situations in which Event context is not used include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Any modification to the EHR which corrects or updates existing content, including by administrative staff, and by clinical professionals adding or changing evaluations, summaries etc. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Patient-entered data where no interaction with health professionals took place; typically readings from devices in the home such as weighing scales, blood glucose measuring devices, wearable monitors etc. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ultimately, the use of Event context will be controlled by Composition-level archetypes. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17721" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.2.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Occurrence in Data </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For situations requiring an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object to be recorded, it is worth clarifying which Compositions carry such objects. Consider the example shown in </SPAN
+><A href="#LinkTarget_17738">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 13</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In this example, a Contribution is made to the EHR, consisting of one or more Compositions that were each created or modified due to some clinical activity. Within such a set, there will usually be one Composition relating directly to the event, such as the patient contact - this is the Composition containing the doctor’s observations, nurses’ activities etc, during the visit, and is therefore the one which contains the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. Other Compositions changed during the same event (e.g. updates to med</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ication list, family history and so on) do not require an Event context, since they are part of the same Contribution, and the event context of the primary Composition can always be retrieved if desired. Contributions A, B and C in the figure illustrate this case. </SPAN
+></P>
+<IMG width=603 height=445 style="display:block; float:none; text-align:center; margin-bottom:19px" src="images/ehr_im_img_27.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In cases where Contributions are made to the record with no event context, the Event context of any Compositions from the original commit will remain intact and visible (unless the correction is to the event context itself of course), and will correctly reflect the fact that no new clinical interaction occurred. This is the case with Contribution D in the figure. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Persistent Compositions do not have an Event context. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17742" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.2.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Time </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The times recorded in the Event context represent the time of an encounter or other activity undertaken by a health provider to/for/on behalf of the patient. The time is represented as a mandatory start time and optional end time. It is assumed that where there is a clinical session (i.e. an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object does exist), the start time is known or can be reasonably approximated. It is quite common that the end time of a consultation or encounter is not recorded, but rather inferred from e.g. average consult times, or the start time of the next consult for the same physician. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:64px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Event context is used as described above even if the additions are made to the EHR long after the event took place, such as happens when a doctor writes his/her notes into the record system at night, after all patients have been seen. In such cases, the versioned Composition audit trail records the context of when the data were entered, as distinct from the context of when the clinical interaction took place. </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17760" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.2.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Participations </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As part of the Event context, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute can be used to describe who participated, and how. Each participation object describes the “mode” of participation as well, such as direct presence, video-conference and so on. In many cases such information is of no interest, since the subject of any Entry is known (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and the clinician will be known (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), and the mode of communication is assumed to be a personal encounter. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is therefore used when it is desired to record further details of how the patient and or physician interacted </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> over the internet), and/or other participants, such as family, nurses, specialists etc. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are no general rules about who is included as a participant. For example, while there will be a patient participation during a GP visit, there will be no such participation recorded when the clinical event is a tissue test in a laboratory. Conversely, a patient might record some observations and drug self-administration in the record, in which case the composer will be the patient, and there will be no clinician participation. Consequently, the use of participations will mostly be archetype-driven. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17765" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>5.2.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Healthcare Facility, Location and Setting </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>health_care_facility</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (HCF) attribute is used to record the health care facility in whose care the event took place. This is the most specific identifiable (i.e. having a provider id within the health system) workgroup or care delivery unit within a care delivery enterprise which was involved in the care event. The identification of the HCF can be used to ensure medico-legal accountability. Often, the HCF is also where the encounter physically took place, but not in the case of patient home visits, internet contacts or emergency care; the HCF should not be thought of as a physical place, but as a care delivery management unit. The physical place of care can be separately recorded in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>location</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>health_care_facility</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is optional to allow for cases where the clinical event did not involve any care delivery enterprise, e.g. self-care at home by the patient, emergency revival by a non-professional (e.g. CPR by lifeguard on a beach), care by a professional acting in an unofficial capacity (doctor on a plane asked to aid a passenger in difficulty). In all other cases, it is mandatory. Archetypes are used to control this. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Two other context attributes complete the predefined notion of event context in the model: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>location </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>location</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute records: the physical location where the care delivery took place, and should document a reasonably specific identifiable location. Examples include “bed 5, ward E”, “home”. This attribute is optional, since the location is not always known, particularly in legacy data. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is used to document the “setting” of the care event. In clinical record keeping, this has been found to be a useful coarse-grained classifier of information. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology “setting” group is used to code this attribute. It is mandatory, on the basis that making it optional will reduce its utility for querying and classification. </SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17770">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Composition Content </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data in a Composition is stored in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. There are four kinds of data structuring possible in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: </SPAN
+></P>
+<P style="text-align:; margin-bottom:0px; margin-right:46px; margin-left:116px; text-indent:-23px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it may be empty. Although for most situations, there should be content in a Compostion, there are at least two cases where an empty Composition makes sense: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the first is a Composition in ‘draft’ editing state (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = ‘incomplete’) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the second is for systems that are only interested in the fact of an event having taken place, but want no details, such as so-called clinical ‘event summary’ systems, which might record the fact of visits to the doctor, but contain no further </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>information. This can be achieved using Compositions with event context, and no further content. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it may contain one or more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which are defined in the archetype of the Composition; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it may contain one or more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> trees, each of which is a separately archetyped structure; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it may contain one or more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> directly, with no intermediate </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it may be any combination of the previous three possibilities. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The actual structures used in a Composition at runtime are controlled by a template, which in turn controls the particular combination of archetypes used. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17809" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_17810" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>COMPOSITION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:38px">
+<CAPTION  style="margin-bottom:38px">
+<P style="margin-bottom:38px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>COMPOSITION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One version in a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSIONED_COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. A composition is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorising clinicians. In this latter sense, it may be considered equivalent to a signed document. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_COMPOSITION_VERSION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDA </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DOCUMENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> List&lt;CONTENT_ITEM&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The content of this Composition. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> EVENT_CONTEXT </SPAN
+></TD>
+<TD style="width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The clinical session context of this Composition, i.e. the contextual attributes of the clinical session. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:160px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:160px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> PARTY_PROXY </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:160px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The person primarily responsible for the content of the Composition (but not necessarily its committal into the EHR system). This is the identifier which should appear on the screen. It may or may not be the person who entered the data. When it is the patient, the special “self” instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will be used. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 40 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>COMPOSITION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>category</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates what broad category this Composition is belogs to, e.g. “persistent” - of longitudinal validity, “event”, “process” etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mandatory indicator of the localised language in which this Composition is written. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “languages”. The language of an Entry if different from the Composition is indicated in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>territory</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of territory in which this Composition was written. Coded from openEHR “countries” code set, which is an expression of the ISO 3166 standard. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if category is a “persistent” type, False otherwise. Useful for finding Compositions in an EHR which are guaranteed to be of interest to most users. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:251px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:251px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_archetype_root</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_archetype_root </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Composer_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: composer /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Content_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: content /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>content.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Category_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: category /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr). has_code_for_group_id(Group_id_composition_category, category.defining_code) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_persistent_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_persistent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> context = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Territory_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: territory /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_countries).has_code(territory) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>No_parent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: parent = Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17891" style="text-align:center; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EVENT_CONTEXT Class </SPAN
+></H3>
+<IMG width=651 height=160 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/ehr_im_img_28.png">
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Documents the context information of a healthcare event involving the subject of care and the health system. The context information recorded here are independent of the attributes recorded in the version audit, which document the “system interaction” context, i.e. the context of a user interacting with the health record system. Healthcare events include patient contacts, and any other business activity, such as pathology investigations which take place on behalf of the patient. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 41 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Composition Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:39px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EVENT_CONTEXT </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Composition class </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>TBD </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>health_care_facility</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The health care facility under whose care the event took place. This is the most specific workgroup or delivery unit within a care delivery enterprise that has an official identifier in the health system, and can be used to ensure medico-legal accountability. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>start_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Start time of the clinical session or other kind of event during which a provider performs a service of any kind for the patient. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>end_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional end time of the clinical session. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List &lt;PARTICIPATION&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Parties involved in the healthcare event. These would normally include the physician(s) and often the patient (but not the latter if the clinical session is a pathology test for example). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>location</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The actual location where the session occurred, e.g. “microbiol lab 2”, “home”, “ward A3” and so on. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:281px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The setting in which the clinical session took place. Coded using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology, “setting” group. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other optional context which will be archetyped. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:139px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:139px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>start_time_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: start_time /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>participations_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: participations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> participations.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>location_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: location /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>location.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>setting_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: setting /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminology(Terminology_id_openehr).has_code_for_group_id (Group_id_setting, setting.defining_code) </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 42 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Content Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_17972">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Content Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17974">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package contains the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, ancestor class of all content types, and the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>navigation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>packages, which contain </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and related types. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>content </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package is illustrated in </SPAN
+><A href="#LinkTarget_17983">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 14. </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=329 height=199 style="display:block; float:none; text-align:right; margin-bottom:22px" src="images/ehr_im_img_29.png">
+<TABLE style="text-align:left; margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:482px; height:30px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 14 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.composition.content package </SPAN
+></TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_17985" style="vertical-align:middle; width:57px; height:46px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.2 </SPAN
+></TH>
+<TD style="width:426px; height:46px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_17988" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.1 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:426px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CONTENT_ITEM Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="text-align:center; margin-bottom:225px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CONTENT_ITEM (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract ancestor of all concrete content types. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:245px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:294px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 43 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Navigation Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18020">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Navigation Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18022">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>navigation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Package defines a hierachical heading structure, in which all individual headings are considered to belong to a “tree of headings”. Each heading is an instance of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, illustrated in </SPAN
+><A href="#LinkTarget_18030">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 15. </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=441 height=192 style="display:block; float:none; margin-bottom:13px" src="images/ehr_im_img_30.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sections provide both a logical structure for the author to arrange Entries, and a navigational structure for readers of the record, whether they be human or machine. Sections are archetyped in trees with each tree containing a root Section, one or more sub-sections, and any number of Entries at each node. Section trees that are separately archetyped, such as the SOAP headings, or the heading structure for a physical examination, can be combined at runtime by type to form one large heading structure, as shown in </SPAN
+><A href="#LinkTarget_18049">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 16. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In terms of understanding of clinical data, Section structures are not essential in a Composition - they can always be removed or ignored (typically in machine processing such as querying) without losing the meaning of the Entries in the Composition. While Sections are often used to group Entries according to status, e.g. “family history”, “problems”, “observations”, it is the Entries themselves that indicate the definitive category of information contained therein. This principle is explained in more detail in </SPAN
+><A href="#LinkTarget_18282">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entry and its Subtypes on page 52</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Despite the above, Section structures do not have to be regarded as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or unreliable structures. On the contrary, as they are archetyped, their structures can be relied upon in the same way as any other structure in the record can be relied on to conform to its archetype. Accordingly, solid assumptions can be made about Sections, based on their archetypes, for the purposes of querying. In fact, the main benefit of Sections is that they may provide significant performance benefits to querying, whether by interactive application or by automated systems. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One potentially confusing aspect of any Section structure is that while the root Section in a tree is logically a Section, it does not appear in a display or printed form as a visible section. This is due to the fact that humans don’t usually write down top-level headings for anything, since there is always a containing structure acting as a top-level organising context (such as the piece of paper one is writing on). For example, consider the way a clinician writes down the problem/SOAP headings on paper. She writes the name of the first problem, then under that, the S/O/A/P headings, then repeats the process for further problems. But she doesn’t write down a heading above the level of the problems, even though there must be one from a data structure point of view. </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 44 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Navigation Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=608 height=447 style="display:block; float:none; text-align:center; margin-bottom:21px" src="images/ehr_im_img_31.png">
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18051" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_18052" style="text-align:justify">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>SECTION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:28px">
+<CAPTION  style="margin-bottom:28px">
+<P style="margin-bottom:28px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>SECTION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents a heading in a heading structure, or “section tree”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Created according to archetyped structures for typical headings such as SOAP, physical examination, but also pathology result heading structures. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Should not be used instead of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hierarchical structures. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Headed_section </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD style="width:538px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::CompositeObservation (COAS does not distinguish between the semantics of Sections and hierarchical structure inside Entries, modelled in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR by Cluster). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_ORGANISER </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDA Heading. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 45 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Navigation Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:14px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>SECTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:245px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:294px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:245px; height:84px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>items</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List&lt;CONTENT_ITEM&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:294px; height:84px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ordered list of content items under this section, which may include: •more </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs •ENTRYs </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Items_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: items /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> items.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18110" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Section Instance Structures </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18112" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Problem/SOAP Headings </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:630px; line-height:19px">
+<A href="#LinkTarget_18130">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An example of an section tree representing the problem/SOAP heading structure is shown in FIG</SPAN
+></A>
+<A href="#LinkTarget_18130">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URE 17</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 46 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:45px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Navigation Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=633 height=689 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/ehr_im_img_32.png">
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 47 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_18146">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Entry Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18148" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Principles </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18150" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Information Typology </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All information which is created in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR health record is expressed as an instance of a class in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, containing the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class and a number of descendants. An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is logically a single ‘clinical statement’, and may be a single short narrative phrase, but may also contain a significant amount of data, e.g. an entire microbiology result, a psychiatric examination, a complex prescription. In terms of actual content, the Entry classes are the most important in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR Information Model, since they define the semantics of all the ‘hard’ information in the record. They are intended to be archetyped, and in fact, archetypes for Entries make up the vast majority of important clinical archetypes defined. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design of Entry package is based on past experience and upon a solid theoretical model of clinical recording, described in Beale &amp; Heard </SPAN
+><A href="#LinkTarget_19582">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[4]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which includes a typology of information categories shown in the </SPAN
+><A href="#LinkTarget_18155">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 18</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Entry class names are annotated next to categories which are directly modelled). </SPAN
+></P>
+<IMG width=571 height=341 style="display:block; float:none; text-align:center; margin-bottom:16px" src="images/ehr_im_img_33.png">
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The key top-level categories in the typology are ‘care information’ and ‘administrative information’. The former encompasses all statements that might be recorded at any point during the care process, and consists of the major subcategories ‘observation’, ‘opinion’ and ‘instruction’, which themselves correspond to the past, present and future in time (ISO TC215 uses the terms ‘retrospective’, ‘current’ and ‘prospective’). The administrative information category covers information which is not generated by the care process proper, but relates to organising it, such as appointments and admissions. This information is not about care, but about the logistics of care being delivered. Categories that relate to the patient system as observed and understood are shown as white bubbles, while categories that relate to intervention into the patient system are shown as shaded. The opinion category has features of both passive analysis and active intervention. </SPAN
+></P>
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 48 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where the principal information categories of </SPAN
+><A href="#LinkTarget_18155">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 18</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> occur in the care delivery process is shown in </SPAN
+><A href="#LinkTarget_18177">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 19</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This figure shows the cycle of information in an iterative, problem solving process typical not just of clinical medicine but of science itself. The system as a whole is made up of two parts: the “patient system” and the “clinical investigator system”. The latter consists of health carers, and may include the patient (at points in time when the patient performs observational or therapeutic activities), and is responsible for understanding the state of the patient system and delivering care to it. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Starting from the patient (right hand side of figure) we can see that Observations lead to Opinions on the part of the investigator, including assessment of the current situation, goals for a future situation, and plans for achieving the goals. Personal and published evidence and knowledge almost always play an important part in this process. The latter lead to Instructions designed to help the patient achieve the goals. A complex or chronic problem may take numerous iterations - possibly a whole lifetime’s worth - with each step being quite small, and future steps depending heavily on past progress. The role of the investigator (and associated agents) is normally filled by health care professionals, but may also be filled by the patient, or a guardian or associate of the patient. Indeed, this is what happens every time a person goes home from the pharmacy with prescribed medication to take at home. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:normal; color:#001F93"
+>published </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; font-weight:normal; color:#0000FF"
+><Sup>1 </Sup></SPAN
+></P>
+<IMG width=621 height=209 style="display:block; float:none; text-align:center; margin-bottom:7px" src="images/ehr_im_img_34.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The process illustrated in </SPAN
+><A href="#LinkTarget_18177">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 19 is a synthesis of the “problem-oriented” approach of Weed [18] </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and the “hypothetico-deductive model” of clinical reasoning described by Elstein </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>et al</SPAN
+><A href="#LinkTarget_19596">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> [8]. However, </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>as pointed out in Elstein &amp; Schwarz </SPAN
+><A href="#LinkTarget_19597">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[9]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, hypothesis-making and testing is not the only successful process used by clinical professionals - evidence shows that many (particularly those older and more experienced) rely on pattern recognition and direct retrieval of plans used previously with similar patients or prototype models. The investigator process is compatible with both cognitive approaches, since it does not say how opinions are formed, nor imply any specific number or size of iterations to bring the process to a conclusion. As such, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR information model does not impose any process model, only the types of information used. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<A href="#LinkTarget_18155">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are two key justifications for using the typology of FIGURE 18 as a basis for class design. </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Firstly, although for all categories in the typology there is a meaning for ‘contextual’ attributes of time, place, identity, reason and so on, each category has a different structure for these attributes. For example, time in the Observation category has a linear historical structure, whereas in Instruction it has a branching, potentially cyclic structure. The separation of types allows these contextual attributes to be modelled according to the type. Secondly, the separation of types provides a systematic solution to the so-called problem of “status” or “meaning modification” of clinical statement values, as described below. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 49 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18199" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Clinical Statement Status and Negation </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A well-known problem in clinical information recording is the problem of assigning “status”, including variants like “actual value of P” (P stands for some phenomenon), “family history of P”, “risk of P”, “fear of P”, as well as negation of any of these, i.e. “not/no P”, “no history of P” etc. A proper </SPAN
+><A href="#LinkTarget_19582">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>analysis of these so called statuses [4] shows that they are not “statuses” at all, but different categories </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>of information as per the typology. The common statement types mentioned here are mapped as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>actual value of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Observation (of P); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>no/not P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Observation (of excluded P or types of P, e.g. allergies). </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>family history of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Evaluation (that patient is at risk of P); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>no family history of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Evaluation (that P is an excluded risk); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>risk of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Evaluation (that patient is at risk of P); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>no risk of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Evaluation (that patient is not at risk of P); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fear of P </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Observation (of FEAR, with P mentioned in the description); </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In general, negations of the kind mentioned above are handled by using “exclusion” archetypes for the appropriate Entry type. For example, “no allergies” can be modelled using an Evaluation archetype that describes which allergies are excluded for this patient. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another set of statement types that can be confused in systems that do not properly model information categories concern interventions, e.g. “hip replacement (5 years ago)”, “hip replacement (planned)”, “hip replacement (ordered for next tuesday 10 am)”. Ambiguity is removed here as well, with the use of the correct information categories, e.g. (I stands for an intervention): </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>I (distant past/unmanaged/passively documented) </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Observation (of I present in patient); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>I (recent past) </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Action (of I having been done to/for patient); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>I (proposed) </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Evaluation, subtype Proposal (of I suggested/likely for patient); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>I (ordered) </SPAN
+><SPAN style="font-size:9pt; font-weight:normal; color:#000000"
+>⇒</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Instruction (of I for patient for some date in the future). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Related to the problem of clinical status is the need to differentiate between diagnoses that have been made in the present from those that were made in the past, and are reported by the patient. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, diagnosis and indeed all opinion category types are modelled as Evaluations, regardless of when they were made. Time information for diagnosis and other opinions is simply handled within the archetype for Evaluation, enabling a diagnosis (say of diabetes) that was made 15 years ago to have the same status as one made during the period when the EHR was actually operating, and the patient was under the care of the physician using it. Archetypes for the opinion categories tend to have quite a number of times, including “time first noticed”, “time of onset”, and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Correct use of the categories from the typology is facilitated by using archetypes designed to map particular kinds of clinical statement to particular </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtypes. In a system where Entries are thus modelled, there will be no danger of incorrectly identifying the various kinds of Entries, as long as the Entry subtype, time, and certainty/negation are taken into account. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18242" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Standard Clinical Types of Data </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Commonly used types of clinical information are directly representable using the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Entry types. As described in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR IM, two kinds of Composition are identified: persistent and event. The persistent kind corresponds to information that characterises the patient in the long term, and is maintained by clinicians - it can be thought of as a proxy “model of the patient”. Most of the the following are examples of Entry level data belonging inside persistent Compositions: </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 50 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:-3px; margin-right:166px; margin-left:74px; text-indent:-23px; line-height:22px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Basic information (dob, sex, height, weight, pregnant etc)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Observations and/or Admin_entries; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Problem list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: maintained as one or more Evaluations which themselves are generated by clinicians as a rsult of observations made elsewhere in the record; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medications list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: derived from Instructions and Actions in the record. The status of Actions allows medications to be displayed as past, current, suspended etc. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Therapeutic precautions (allergies and alerts)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Evaluations of various kinds (adverse reactions are essentially a kind of diagnosis); </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Patient preferences</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Evaluations (since they act like contra-indications for certain drugs or treatments); </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Patient consents</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as instances of Admin_entry; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Family history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>actual events / conditions in family members are recorded as Observations (e.g. father died of MI at 62) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>patient risks are expressed using Evaluations, often including family history reasons. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Social history/situation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: current and previous social situation (e.g. in nursing care, details of feeding, sleeping arrangments) are documented as Observations. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lifestyle</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: there are various Observation archetypes for recording aspects of lifestyle, including exercise, smoking/tobacco, alcohol, drug use and so on. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Vaccination record</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: vaccinations are a kind of Instruction; vaccinations that have actually been given are available as Actions in the record. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Care plan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: combinations of goals, targets (Evaluations), monitoring, education (Instructions), </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; text-indent:60px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>etc orgnanised in a care plan Section hierarchy. The remaining vast majority of remaining clinical information is recorded inside event Compositions, and includes the following: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px; margin-left:36px; line-height:24px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>laboratory results including imaging</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Observations; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>physical examinations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Observations </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>appointment, admission and discharge</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Admin_entry </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>prescriptions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: one or more medication orders (each one is an Instruction) within a prescription </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-right:121px; margin-left:12px; text-indent:24px; line-height:23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Section structure, within a prescription Composition. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>referrals</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: recorded as Instructions (i.e. a request for care by another provider). The above concepts are defined in terms of archetypes of Entry and other reference model types in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; their definition is therefore completely separate from the reference model. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18261" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Demographic Data in the EHR </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The general approach of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is to enable the complete separation of demographic (particularly patient-identification information) from health records, both in the interests of privacy (in some cases required by national legislation) and separated data management. The Demographic IM therefore defines demographic information. However, there is nothing to prevent certain demographic information occurring in the EHR, and in some cases this is desirable. The two main cases for this are: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:45px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>clinically-relevant patient information, such as age, sex, height, weight, eye-colour, ethnicity or ‘race’, occupation; </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 51 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifiers and/or names of health care provider individuals and organisations may be stored directly in the EHR, regardless of whether there is also more detalied information about such entities in the demographic system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The model of all information intended for a separate </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR demographic service (itself usually a front-end to an existing hospital master patient index or similar) is defined in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Demographic Information Model. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18282">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Entry and its Subtypes </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Entry model is defined by the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>composition.content.entry</SPAN
+><SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>package, shown in FIGURE 20. </SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The choice of subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><A href="#LinkTarget_18155">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is based on the typology shown in FIGURE 18 and its associated </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>model. The names do not coincide exactly however, for a number of reasons. Firstly, the category names in the hierarchy were chosen based on a philosophical/scientific model of investigation, and reflecting linguistic norms for the meanings of the terms, whereas the class names used here reflect common health computing and clinical usage of these terms (i.e. names which will make sense to software developers in the health arena). Names in these two cultures do not always coincide. Additionally, for categories such as Opinion and Instruction, the subcategories shown in the typology (e.g. Assessment, Goal and Plan) are too variable to safely be subtyped in software, and are distinguished only at the archetype level. Only a single class for each of these ontological groups is used in the formal model. The use of different names and a slightly simplified mapping has not however prevented the faithful implementation of the semantics of the model. The model classes are described in the following subsections. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18287" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>The Entry class </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All Entries have a number of attributes in common. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>encoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes indicate how all text data within the Entry are to be interpreted linguistically and at the character set level. Normally, the language will be the same throughout the entire Entry (if not Composition), but in cases where it is not, the optional </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can be used to override the value in the enclosing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (or other enclosing structure, if a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is being used in some other context). Character encoding can be overridden in the same fashion by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>encoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute within </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The other attributes common to all Entry subtypes are as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: this attribute records the subject of the Entry as an instance of a subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_PROXY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. When this is the record subject, (i.e. the patient), the value is an instance of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Otherwise it is typically a family member, sexual partner, or other acquaintance of the record subject. It could also be an organ donor. The latter is expressed in the form of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_IDENTIFIED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>RELATED_PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance, which describes the kind of relationship, and optionally, identifies the demographic entity. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject_is_self</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: convenience function returning True when the Entry is about the subject of the record. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the agent who provided the information. This is usually the patient or the clinician, but may be someone else, or a software application or device. If participation details of the provider (e.g. mode of communication) need to be recorded, the details should be recorded once in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT_CONTEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is optional, since it is often implicit in the information that was recorded. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other participations which existed for this Entry, e.g. a nurse who administered a drug in an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; only required in cases where participants other than the subject of the information and the provider of the information need to be recorded. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 52 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>PATHABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>E </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#95B5B8"
+>(rm.common.archetyped) </SPAN
+></P>
+<IMG width=935 height=677 style="display:block; float:none; text-align:center; margin-bottom:0px" src="images/ehr_im_img_35.png">
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Note that the term ‘provider’ as used here should not be confused with the more specific healthcare term used in many english-speaking countries meaning ‘health care provider’, which is usually understood to be a physician or healthcare delivery enterprise such as a hospital. In the model here, it simply means ‘provider of information’ in the context of an Entry. The information provider is optional, and in many cases will not be recorded, since it will be obvious from the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>composer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of the enclosing Composition. In many cases, it is not sensible to record a provider, e.g. in the most mundane case where a GP asks “where does it hurt” and the patient says “here” </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in such cases, it can only be considered mutual. It is expected to be used only when the composer of the Composition really needs to specify the origin of specific statements, such as in the following circumstances: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the information provider is specifically accountable for the Entry data (it  is their opinion, their decision, they carried out the test etc) -  they might also need to attest it; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the information provider is an authoritative source, or has provided information from a unique perspective (e.g. the view of a spouse/ carer on the patient's functional health status or mental state); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the information provider’s view might not reflect the consensus (e.g. a patient opinion not held by the composer, a difference between father and  mother on a description of a child's sleeping pattern); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:15px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the information provider is </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> one of the Composition-level participants (e.g. an outside information provider such as someone telephoned during the encounter to provide a lab result, or an automated measurement device, or a decision support software component). </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18333" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Care_entry and Admin_entry </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A basic division occurs between clinical and non-clinical information. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is an abstract precursor of classes that express information of any clinical activity in the care process around the patient, while </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ADMIN_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used to capture administrative information. The division may occasionally seem ambiguous at a theoretical level, but at a practical level, it is almost always clear. Administrative information has the following characteristics: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it is created by non-clinical staff, or clinical staff acting in an administrative capacity (e.g. a nurse or doctor who has to fill out an admission form in A&amp;E); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it expresses details to do with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>coordinating</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the clinical process, by recording e.g. admission information (enables clinical staff to know who is in the hospital and where they can be found), appointments (ensuring patient and physician get together at an agreed time and place), discharge/dismissal (allowing clinical staff to know that a patient has been sent home healthy, or transferred to another institution), billing and insurance information (where such information is required in the EHR; it may well be in its own system); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>removing administative information from the EHR would not compromise its clinical integrity, it would simply mean that carers and patients would no longer know when and where they were supposed to meet, or when the patient has entered or left a health care facility. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conversely, every instance of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtype is clinically significant, even if it also carries information which might be of interest to other health management functions billing (e.g. ICD10 coded diagnoses), practice management (e.g. date, time and place in an order for day surgery). The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type includes two attributes particular to all clinical entries, namely </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>guideline_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:30px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These attributes allow the “how” and “why” aspects of any clinical recording to be expressed. Protocol is often recorded for Observations (e.g. staining method in microscopy) and Instructions (e.g. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 54 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="text-align:center">
+<TR>
+<TH colspan=2 style="width:361px; height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</TH>
+<TH style="width:288px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:57px; height:22px"/>
+<TD style="vertical-align:top; width:304px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:288px; height:22px">
+<A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 5.1.0 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_18373" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.3 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:304px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Observation </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:288px; height:26px"/>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instances of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class record the observation of any phenomenon or state of interest to do with the patient, including pathology results, blood pressure readings, the family history and social circumstances as told by the patient to the doctor, patient answers to physician questions during a physical examination, and responses to a psychological assessment questionnaire. Observations are distinguished from Actions in that Actions are interventions whereas Observations record only information relating to the situation of the patient, not what is done to him/her. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The significant information of an Observation is expressed in terms of “data”, “state” and “protocol”. The first of these is recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, defined as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:24px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the actual datum being recorded; expressed in the form of a History of Events, each of which can be a complex data structure such as a List, Table, Single (value), or Tree, in its own right. Examples include blood pressure, heartrate, ECG traces. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>State information can be recorded in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of Observation, or within the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of each Event in the Observation data attribute (see below and also Data Structures IM for more detailed explanations). The state attribute in Observation is defined as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:24px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: any particular information about the state of the subject of the Entry necessary to correctly interpret the data, which is not already known in the health record (i.e. facts such as the patient being female, pregnant, or currently undergoing chemotherapy). For example, exersion level (resting, post-marathon...), position (lying, standing), post- glucose challenge, and so on. The form of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is the same as that of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute: a History of Events of Item_structures. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The inherited </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is defined as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:24px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: details of how the observation was carried out, which might include a particular clinical protocol (e.g. Bruce protocol for treadmill exercise ECG) and/or information about instruments other other observational methods. This information can always be safely omitted from the user interface, i.e. has no bearing on the interpretation of the data. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The detailed semantics of Observation data are described in the following subsections. </SPAN
+></P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18385" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Timing in Observations </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Many health information models express observation time as one or more attributes with names like ‘observation_time’, ‘activity_time’ and so on. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model departs from this by modelling historical time inside a History/Event structure defined in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_structures.history</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. In short, this package defines the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class with an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, and a series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instances each containing a </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. Instantaneous and interval events are distinguished via the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subtypes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POINT_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERVAL_EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; interval events have the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>width</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is set to the duration of the interval. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18389" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Valid Contents of a History </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>One of the aims of the model of Observation described here is to represent in the same way single sample and multi-sample time-based data for which </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>measurement protocol is invariant</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. It is not intended for measurements in “coarse” time taken by different people, different instruments, or with any other difference in data-gathering technique. In these cases, separate, usually single-sample histories are used, usually occurring in distinct container objects (e.g. distinct Compositions, in the EHR). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>Defined in the Data Structures IM; see </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TRUNK/publish</SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/data_structures_im.pdf">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>ing/architecture/rm/data_structures_im.pdf</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 55 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Accordingly, in the general practice setting, the use of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will correspond to measurement series which occur </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>during</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the clinical session (i.e. during a patient contact). In a hospital setting, nurses’ observations might occur in 4-hourly intervals, and there is no well-defined clinical session simply a series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> during the time of the episode. Two approaches are possible here. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If each Observation is to be committed to the EHR as soon as it is made, the result will be distinct </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in time, each with its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>event_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> corresponding to the period of the nurse’s presence. Each Composition will contain one or more Observations, each containing in their data a History of one sample of the measured vital sign. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>If Observations are not committed to the EHR immediately, but are stored elsewhere and only committed (say) at the end of each day, then the result will be a single Composition whose </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>event_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> corresponds to the total data gathering period, and which contains Observations whose data are multi-event Histories representing the multiple measurements made over the day. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Whether time-based data remain outside the record until a series of desired length is gathered, or entered as it occurs is up to the design of applications and systems; the approach taken should be based on the desired availability of the data in the system in question. If for example, it must be visible in the EHR as soon as the appropriate Compositions are written, then it should be represented as Histories in each relevant Composition; if it need only be available at some much later point in time </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> because it is known that no-one but the treating clinician is interested in it), then it can be stored in another system until sufficient items have been gathered for committal to the EHR. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18420" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Clinical Semantics of Event Time </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In most cases, the times recorded in a History (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>width</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) can be thought of as “the times when the observed phenomena were true”. For example, if a pulse of 88bpm is recorded for 12/feb/2005 12:44:00, this is the time at which the heartrate (for which pulse is a surrogate) existed. In such cases, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sample</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> time, and the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>measuring</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> time are one and the same. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>However in cases where the time of sampling is different from that of measurement, the semantics are more subtle. There are two cases. The first is where a sample is taken (e.g. a tissue sample in a needle biopsy), and is tested later on, but from the point of view of the test, the time delay makes no difference. This might be because the sample was immediately preserved (e.g. freezing, placed in a sterile anaerobic transport container), or because even if it decays in some way, it makes no difference to the test (e.g. bacteria may die, but this makes no difference to a PCT analysis, as long as the biological matter is not physically destroyed). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second situation is when the sample does decay in some way, and the delay is relevant. Most such cases are in pathology tests, where presence of live biological organisms (e.g. anaerobic bacteria) is being measured. The sample time (or ‘collection’ time) must be recorded. Depending on when the test is done, the results may be interpreted differently. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The key question is: what is the meaning of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes in these situations? It is tempting to say that their values are (as in other cases) just the times of the actual act of observation, e.g. microscopy, chromatography etc. However, there are two problems with this. Firstly, and most importantly, all physical samples must be understood as being </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>indirect surrogates for some aspect of the patient state at the time of sampling, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>which cannot be observed by direct, instantaneous means in the way a pulse can be taken. This means that no matter when the laboratory work is done, the time to which the result applies is the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sample</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> time. It is up to the laboratory to take into account time delays and effects of decay of samples in order to provide a test result which correctly indicates the state of the patient at the time of sampling. The common sense of this is clear when one considers the extreme case where the patient is in a coma or dead (possibly for reasons </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 56 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>completely unrelated to the problem being tested for) by the time laboratory testing actually occurs; however, the test result indicates the situation at the point in time when the sample was taken, i.e. when the patient was alive. The second reason is that some kinds of testing are themselves lengthy. For example fungal specimens require 4-6 weeks to confirm a negative result; checks will be made on a daily or weekly basis to find positive growth. However, the result data reported by the laboratory (and therefore the structure of the Observation) is not related to the timing of the laboratory testing; it is reported as being the result for the time of collection of the specimen from the patient. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The meaning therefore of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>origin</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is always the time of sampling. Where delays between sample and measurement times exist and are significant, they are noted in the protocol section of the Observation; such times are modelled in the appropriate archetypes, and taken into account in results. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18441" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Two ways of Recording State </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>State information is optional, and is not needed if the data are meaningful on their own. If it is recorded, it can either be as a History of its own (i.e. using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> atttribute described above), or else as </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> values within the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> History. Both methods are useful in different circumstances. A separate state history is more likely to be used in a correlation study such as a sports medicine study on heartrate with respect to specific types of exercise. In this method, the state information is a History of Events whose times and widths need not match those of the History in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. The state data under this approach generally express the condition of the subject in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>absolute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> terms, i.e. they are standalone statements about the subject’s state at certain points in time, such as “walking on treadmill 10km/h, 10</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>o</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> incline”. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The other method will be used in most general medicine, e.g. for recording fasting and post glucose challenge states of a patient undergoing a glucose tolerance test. (See the Data Structures Information Model for more details). State values stored within the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> History represent the situation in the subject at the time of the Event within the History and usually in relation to it, for example “post 8 hour fast”. Recording the latter example in an independent state History would require an Event of 8 hours’ duration called ‘fast’. The latter would be technically still correct, but would be very unnatural to most clinicians. </SPAN
+><A href="#LinkTarget_18470">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 21</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the two methods of recording state. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18447" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Evaluation </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>According to the typology described in </SPAN
+><A href="#LinkTarget_19582">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[4], the Opinion category covers a number of concrete con</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cepts, as follows. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>problem/diagnosis</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the assignment of a known diagnosis or problem label to a set of observed signs and symptoms in the patient, for the purpose of determining and managing treatment. The physician will usually include a date of initial onset, date clinically recognised, date of last occurrence, date of resolution of last occurrence and possibly other timing information. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>risk assessment</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an evaluation of the likelihood and timing of a certain event occurring or condition appearing. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>scenario</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: an opinion about the outcome if a certain intervention is proceeded with. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>goal</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: statement of a target, and a time at which it should be reached. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>recommendation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: a description in general terms of a suggested care approach for the patient, based on diagnosis; includes various times or time-periods for activities, such as monitoring, taking of medications, and review. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach taken to modelling these concepts in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is heavily based upon the development of archetypes for assessments such as “diagnosis” (various kinds), “goal”, “adverse reactions”, </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 57 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:39px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=560 height=465 style="display:block; float:none; text-align:center; margin-bottom:16px" src="images/ehr_im_img_36.png">
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“alert”, “exclusion”, “clinical synopsis”, “risk based on family history” and so on. Experience has shown that the Opinion category is too variable for safely modelling its sub-categories directly in the reference model. Instead, a single class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used for all instances of the Opinion category. (The name Evaluation has been present in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR for some years, and is retained for reasons of continuity). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is very simple. In addition to the attributes inherited from </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, it has only one attribute, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This structure is intended to be archetyped so as to model all the details of any particular clinical information in the Opinion category. No timing attributes are included, since there is no time associated with creation or capturing of Evaluation information as such, only times included in the information. The only times of generic significance are (potentially) the time of a patient consultation during which the Evaluation was created (recorded in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>event_context</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>start_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>end_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and the time of committal to the EHR system (recorded in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commit_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:89px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The general meaning of the inherited attributes is as for all Entries. In Evaluations, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is almost always the physician, while the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> may be used to indicate how a particular assessment was made. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is not as likely to be used for Evaluations representing diagnoses, since a diagnosis is usually the result of thinking on the part of the physician; an exception to this would be a case conference or if an expert system were used. However, Plans for complex patients may well be constructed by multiple physicians. </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 58 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18489" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Instruction and Action </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instructions in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specify actions to be performed in the future. They differ from information in the Proposal sub-category of Opinion in the typology (i.e. instances of Evaluation in the class model) in that they are specified in sufficient detail to be directly enacted without further clinical decision-making related to the design of the Instruction, e.g they can be performed by the patient or a nurse. Any decisions that could be made during the performance of an Instruction are either constrained by the Instruction itself (e.g. dose range; suspend if adverse reaction) or else are assumed knowledge of the expected performer. For example, an Evaluation may say that “oral cortico-steroids are indicated at a peak flow of 200 l/m”. A corresponding Instruction would indicate the actual drug, route, dose, frequency, and so on. The informed patient might be reasonably expected to be able to vary the dosage on his or her own within a dosage guideline explained by his/her GP. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the typology of </SPAN
+><A href="#LinkTarget_18155">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 18</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, Instructions are further categorised as Investigation and Intervention. However, as for Evaluation, only a single key class, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, is used to model all types of the Instruction category, with archetypes defining the details of the Instruction. A second Entry subtype, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, is used to model the information recorded due to the execution of an Instruction by some agent. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following subsections describe Instruction and Action in some detail. </SPAN
+></P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18495" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Requirements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Instruction and Action classes are designed to satisfy the following requirements: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All kinds of interventions, from simple medication orders to complex multi-drug courses should be representable using the same model; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instructions should always have a narrative expression, with an optional machine-processible expression in cases where automation will be used; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The freedom must exist to model any particular intervention in as much or little detail as required by circumstances; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinicians must be able to specify Instruction steps in their own terms, i.e. using terms like “prescribe”, “dispense”, “start administering”, etc; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instructions representing diverse clinical workflows must be queryable in a standard way, so that it can be ascertained what Instructions are ‘active’, ‘completed’ and so on for a patient; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It should be possible to provide a coherent view of the state of execution of an Instruction even if parts of it have been executed in different healthcare provider environments; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It must be possible to record </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> actions in the record, i.e. acts for which no Instruction was defined (at least in the EHR in question); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instructions must integrate with notification / alert services; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:10px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An interoperable expression of computable workflow definitions of Instructions will be supported. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18535" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Design Principles </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:74px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design approach is based on four principles. The first is that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>specification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of an Instruction is distinguished from the information representing actions performed as a result. This makes the model and resulting information instances clear to software designers and data users. It also enables workflow engines to determine which parts of the specification have already been executed, and allows for Actions actually performed to differ from those specified. The separation is realised in terms of the </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 59 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> classes and their helpers. Instances of the former specify an Instruction, while instances of the latter describe steps which have actually been performed. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second principle is the use of a standard instruction state machine (ISM) defining possible states and transitions for any Instruction, no matter what it is. The use of standardised states means that the execution state of any given Instruction can be characterised in exactly the same way (e.g. ‘planned’, ‘active’, etc), and that it is therefore possible to query the EHR and find out all interventions of any kind in a particular state. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The third principle is to provide a way of mapping steps in any care pathway (i.e. healthcare business process) to states in the Instruction state machine. A care pathway is a process which covers the entirety of steps required to effect an Instruction, including prescribing, booking, dispensing, referring, suspension etc. Any such step when performed leaves the Instruction in one of the states of the ISM. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The fourth principle is to support the expression of the formal workflow definition for an Instruction, where full automation is required. It must be recognised that automation of most therapies and drug admnistration, as well as other interventions like biopsies is minimal today, and is likely to remain so for some time. This is for the simple reason that the cost of automating most tasks is prohibitive compared to human execution, particularly when Instruction activities can often be executed by health-care professionals already present for other reasons (e.g. ward nurses). It also has to be said that serious research into the use of workflow automation in healthcare is only quite recent, and that so far, there are no standard models for clinical workflow. In the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR approach to modelling workflow, such uncertainty is dealt with in two ways. Firstly, formal workflow specification of an Instruction is an optional addition to the base model of Instruction and Action classes, and is not required to obtain a basic level of computability, including use of the ISM. Secondly, the formal expression of workflow is in the form of parsable syntax rather than objects. This is a generally appropriate design choice, since the safest and most convenient persistent form of of a complex formalism is the syntax form rather than the parsed fine-grained object form; this both optimises storage and allows for changes in the syntax over time. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18555" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Model Overview </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Instruction definitions are modelled in terms of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> classes, with optional workflow attributes. These two classes carry the basic information relating to an Instruction, with all formal workflow definition expressed in parsable syntax in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>wf_definition </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>attribute. An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance includes the narrative description of the Instruction, and a list of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances. It also includes all the attributes inherited from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, including </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>participations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Most Instructions will have only one Activity, usually describing a medication to be administered and its timing. Some will have more than one drug or therapy, such as the typical 3 drug Losec-HP regime for treating ulcers, and multi-drug chemotherapy. The base Instruction model does not explicitly try to indicate the exact order, serial or parallel administration, or other dependencies, since the knowledge of how to administer the drugs is known by the relevant clinicians, and/or contained in published guidelines. However, the timing information in each Activity does indicate times, days and the usual specifications of “with meals” etc. The timing information is also sufficient to specify a three drug chemotherapy regime, by indicating which days each drug is administered on. It is only when the Instruction is to be automated by a workflow engine that the full structure of the Activity graph will be given. Activity instances may be completely absent from an Instruction, in which case only the narrative will be present. This will typically occur with imported legacy data which itself has no structured representation of medications. </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 60 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<A href="#LinkTarget_18589">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Overall, there are three levels of representation of an Instruction, as shown in FIGURE 22. It is </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>expected that the vast majority of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems for the forseeable future will support only the </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:8px">
+<TR>
+<TH colspan=3 style="text-align:center; width:648px; height:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>minimal and basic levels. </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:bottom; width:196px; height:29px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>minimal </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:155px; height:29px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>basic </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:296px; height:29px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>full </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; width:196px; height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(narrative only) </SPAN
+></TH>
+<TD style="width:155px; height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(computable</SPAN
+></TD>
+<TD style="width:296px; height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>(computable</SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; width:196px; height:15px"/>
+<TD style="vertical-align:bottom; width:155px; height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>activities) </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:296px; height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>workflow) </SPAN
+></TD>
+</TR>
+</TABLE>
+<IMG width=536 height=159 style="display:block; float:none; text-align:center; margin-bottom:10px" src="images/ehr_im_img_37.png">
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When some part of an Instruction is executed (or in some cases where there is no Instruction), an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is created describing what was done, and committed to the EHR. Actions include the inherited </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attributes, along with the time of being performed, a description of what was performed, and an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISM_TRANSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object indicating which state of the ISM the Instruction is now in. If the Action did correspond to an Instruction, there will be an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION_DETAILS </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>instance, which indicates which Activity of which Instruction was executed, including workflow execution details if relevant. Actions for which there is no Instruction (or at least not in the current EHR) do occur fairly often, and will not have the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION_DETAILS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> part of the information. However, they do have the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISM_TRANSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance, and it should always be possible for the committer of an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to determine what state in the ISM it corresponds to (e.g. to at least be able to say that it is active, suspended, completed etc). In this way, the ISM state of all things happening to the patient can be ascertained by querying, regardless of whether explicit Instructions exist. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18592" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>The Standard Instruction State Machine (ISM) </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>When a healthcare process is unfolding in a clinical context, EHR users want to know things such as the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>what is the current step in the process for the patient? </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for a given patient, what processes are planned, active, suspended, completed? </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>for the populations of patients, what is the state of a particular workflow, such as a recall? </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach chosen here to support such functionality is to define a standard instruction state machine whose state transitions can be mapped to the steps of a specific care pathway, enabling it to be used as a descriptive device for indicating the state of any Instruction. The state machine is illustrated in </SPAN
+><SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 23</SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This state machine is the result of long term experience with clinical workflows and act management systems. The states are as follows</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+><Sup>1</Sup></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INITIAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: initial state, prior to planning activity (default starting state for computable representation of state machine). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:50px; margin-left:36px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PLANNED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action has been described, but has not as yet taken place. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px; margin-left:180px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>1. </SPAN
+><A href="#LinkTarget_19635">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>The SCHEDULED state was inspired by Van de Velde &amp; Degoulet , Fig 5.5 [17] </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 61 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<IMG width=481 height=891 style="display:block; float:none; text-align:center; margin-bottom:45px" src="images/ehr_im_img_38.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#000000"
+>Transition legend </SPAN
+></P>
+<P style="margin-bottom:-3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>blue</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>: normal state changing event </SPAN
+><SPAN style=" font-weight:normal"
+><Sup><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#FF0000"
+><Sup>red</Sup></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+><Sup>: time-out event </Sup></SPAN
+></Sup></SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#001F93"
+>dark blue</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#001F93"
+>: normal non-state changing event </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#FF00FF"
+>magenta</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>: post time-out event </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:33px; margin-left:22px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#008000"
+>green</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#008000"
+>: scheduling-related transitions </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 23 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR standard Instruction State Machine </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POSTPONED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action has not taken place and will not without specific conditions being met. Specifically, events and conditions that would normally ‘activate’ the instruction will be ignored, until a restore event occurs. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SCHEDULED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action will take place at some designated future time, and has been booked in a scheduling system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CANCELLED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action was defined, but was cancelled before anything happened; it has not and will not take place. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action is taking place according to its definition. The entire course of medication or therapy corresponds to this state. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SUSPENDED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action was begun, but has been stopped temporarily, and will not be restarted until explicitly resumed. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ABORTED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action began but was permanently terminated before normal completion. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:36px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPLETED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the action began and was completed normally. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXPIRED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the time during which the action could have been relevant has expired; the action may have completed, been cancelled, or never occurred. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>States </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CANCELLED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ABORTED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPLETED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>are all terminal states. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXPIRED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>state is a pseudo-terminal state, from which transitions are allowed to proceed to any of the true terminal states, due to information being received after the fact (such as a patient reporting that they did indeed finish a course of antibiotics). However it is likely in the EHR that Instructions for many simple medications will finish in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXPIRED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> state and remain there. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The transitions are self-explanatory for the most part, however a few deserve comment. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>start</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>finish</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> events correspond to situations when the administration is not instantaneous, as is the situation with most medications. The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>do</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> event is equivalent to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>finish</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> event occurring immediately after the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>start</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> event, corresponding to an instantaneous administration, completion of which puts the whole Instruction in the completed state. A single shot vaccination or patient taking a single tablet are typical examples. The states </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PLANNED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>POSTPONED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SUSPENDED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, each have a xxx_step transition which return the state machine to the same state. Workflow steps that cause no transition are mapped to these events and thus leave the Instruction in the same state. An example is a medication review, which will leave the medication in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> state, if the physician chooses to continue. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the future, if delegation of an Instruction to another Instruction is required, nesting of a new Instruction state machine within the Active state of a previous one might need to be supported. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The state machine states and transition names are defined in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology groups “Instruction states” and “Instruction transitions” respectively. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18645" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Careflow Process to State Machine Mapping </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:59px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>From a health professional’s point of view, a healthcare workflow, or “careflow”, consists of steps and events designed to meet one or more goals. The steps are highly dependent on the particular kind of workflow, and will usually be named in terms familiar to the relevant kinds of clinical professionals, such as “prescribe”, “book”, “suspend” and so on (note that some of these names may be the same as ISM transitions, but may or may not indicate the same thing). However, the need of users of health information is to know what state the execution of an Instruction is in, regardless of which particular careflow step might have just been executed. This is achieved by defining the mapping between the steps of a particular careflow to the states of the ISM in the archetype for the Instruction. When each Action corresponding to a particular Instruction is performed, it will be known both which careflow </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 63 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>step it corresponds to and which ISM state the Instruction is now in. The following table provides an example of the mapping for a UK GP medication order workflow. </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:5px">
+<TR>
+<TD style="vertical-align:top; width:187px; height:44px; background-color:#80FFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UK GP Workflow Step </SPAN
+></TD>
+<TD style="width:235px; height:44px; background-color:#80FFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>State machine transition </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Start </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>initiate (initial -&gt; planned) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Prescribe </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>planned_step (planned -&gt; planned) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dispense </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>start (planned -&gt; active) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:22px; background-color:#FFFF4C; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Administer </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:22px; background-color:#FFFF4C; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>active_step (active -&gt; active) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Request Renewal </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>active_step (active -&gt; active) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Re-issue </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>active_step (active -&gt; active) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:22px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Review </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:22px; background-color:#FFFFB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>active_step (active -&gt; active) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Finish </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>finish (active -&gt; completed) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:187px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Cancel </SPAN
+></TD>
+<TD style="vertical-align:top; width:235px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>abort (active -&gt; aborted) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mappings like this are specified in the archetypes for the Instruction. When an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is committed to the EHR, the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISM_TRANSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> object records the step performed and the ISM state and transition. The careflow step must be one of the steps from the corresponding Instruction. See </SPAN
+><A href="#LinkTarget_18748">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Relationship to Archetypes on page 65 for details of how archetypes are used to represent such map</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>pings. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18694" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Clinical Workflow Definition </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical workflows exist at multiple hierarchical levels, from the health system level (reduce diabetes costs; manage obesity) to the fine-grained (asthmatic medication prescription for a particular patient). At all levels, there are goals, actors and tasks designed to satisfy the goals. At a coarse-grained business process level, workflows may be enacted by more than one actor, and may encompass the whole cycle of Observation, Diagnosis, Instruction and Action. For example a workflow describing the steps “prescribe”, “dispense”, “administer”, “repeat”, “review” and so on, around a medication order might include GP, pharmacist, patient as actors. At the finer level of an actual drug or therapy administration, there is usually a single agent or group that performs a specific task, usually within one provider institution, or at home. The correspondence between workflows at these different levels and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>particu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lar</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> patients, rather than just categories of patients (e.g. all insulin-dependent diabetics), typically increases at finer levels of granularity. Thus from the point of view of automation, it is likely to be fine-grained workflows that have patient-specific definitions which would reasonably appear in the EHR. Most typical medication administrations are in this category. How automated workflow definitions at higher levels of organisational hierarchy are represented and coordinated with lower-level automated workflows is known to be a difficult problem generally, and given that health computing is generally more complex than most domains, implementation of distributed, coordinated (or “orchestrated” or “choreographed”, to use the terms of the workflow community) clinical workflows is likely to be some years off. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In this context, the possible scope for formal workflow definition in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR appears to be as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To enable the recording of links between </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Entries and workflow executions, e.g. a particular guideline. This allows </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data to be integrated with coarse-grained non-patient specific workflows. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:39px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To support a standardised, interoperable representation of fine-grained formal workflow definitions for activities like medication administration. </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 64 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To use formal workflow definitions only where automation is actually useful, and is likely to be used. The kind of workflows that are likely to be worth automating are those which run over several days, weeks or longer, i.e. where humans might easily forget to perform a step. In these cases, the output of the workflow system will be reminders for humans to do certain things at certain times, rather than direct machine automation of the task. Execution of such workflow definitions will generate entries in “worklists” for staff or other agents to perform. Examples include asthma drug management for a child and PAP recall management. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>To ensure that any workflow definition takes account of other existing clinical activities, i.e. does not attempt to define all activities that might possibly be relevant. A simple example is a workflow for asthma medication administration probably does not need to explicitly model the taking of peak flow measurements, since this would normally be occurring anyway. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>There are various technical challenges with proposing a standard workflow formalism for clinical use. Firstly, executable workflow definitions are essentially structured programs, similar to programs in procedural languages, but with the addition of temporal logic operators, including alternative paths, parallel paths, wait operations, and also references to outside data sources and services. Recent work </SPAN
+><A href="#LinkTarget_19603">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>in clinical workflow modelling e.g. [11], [1], [7] appears to favour a structural (i.e. parse-tree) </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>approach to representation, due to the need to compute potential modifications to an executing workflow, including dropping, replacing and moving nodes. (Whether such “live”modification of executing workflows is realistic from the designer’s point of view might be questionable, since it means that the design of each workflow has include every possible exceptional case at a detailed level.) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Secondly, the need to connect workflows to the outside world, i.e. data sources and services like notification and worklist management is crucial in making workflows and guidelines implementable. This problem is probably the main weakness of all guideline and workflow languages to date, including Arden, GLIF, and the various workflow languages such as those mentioned earlier. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The approach taken by the current release of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR in representing computable workflow is the following. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where used at all, formal workflow definitions are expressed in terms of syntax, not structures, since syntax is always a more appropriate representation for persistence (just as object structures, i.e. parse trees are more appropriate for computation). </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Access to patient data items are expressed within the syntax as symbolic queries. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Actions, such as requests to the notification service are represented as symbolic commands. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:10px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The entire definition of a workflow is expressed as an optional parsable string, in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>wf_definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_PARSABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. Any syntax may currently be used. A workflow syntax is under development by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Foundation, which is designed to incorporate the relevant features of current workflow models and research, while integrating it into the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR type system and archetype framework. In particular, early versions of this syntax will show how patient data access and service commands can be expressed. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_18748" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>8.2.5.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Relationship to Archetypes </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Much of the semantics of particular Instructions and Actions derive from archetypes. Currently, archetypes are used to define two groups of Instruction semantics. The first is the descriptions of activities that are defined in Instructions (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and executed in Actions (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). These descriptions are always of the same form for any given Instruction, and it is highly desirable to have the same archetype component for both. An example is where the description is of a medication, commonly consisting of a tree or list of ten or more elements describ</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 65 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing the drug, its name, form, dose, route and so on. The same information structure is needed in the Instruction, where it defines what is to be administered, and in the Action, where it describes what has been administered. In any particular instance, there may be small differences in what was administered (e.g. dose or route are modified) even though the archetype model will be the same for both. </SPAN
+></P>
+<P style="text-align:justify; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In terms of archetypes therefore, definition of say two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVITIES</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (see exam</SPAN
+><A href="#LinkTarget_18768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ple illustrated in FIGURE 24) will actually create separate archetypes of the Activity structures, each </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>of which will be one of the subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (since this is the type of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIV-ITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). The archetypes will then be used by both the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUC</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetype and the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetype, via the archetype slot mechanism (i.e. the standard way of composing archetypes from other archetypes; see </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>use_archetype</SPAN
+><A href="#LinkTarget_18768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> statements in FIGURE 24). </SPAN
+></A>
+</P>
+<IMG width=625 height=692 style="display:block; float:none; text-align:center; margin-bottom:37px" src="images/ehr_im_img_39.png">
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 66 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The second category of archetypable semantics is the correspondence between steps in a healthcare business process and the standard instruction state machine, as described above. This mapping is an archetype of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ism_transition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute, and therefore defines part of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTION</SPAN
+><A href="#LinkTarget_18768">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> archetype. FIGURE 24 shows how logical archetype elements in the archetyped editor envi</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ronment corresponds to the resulting archetypes. </SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_18786" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<P ID="LinkTarget_18787" style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ENTRY Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:30px">
+<CAPTION  style="margin-bottom:30px">
+<P style="margin-bottom:30px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ENTRY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:185px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:185px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The abstract parent of all </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtypes. An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is the root of a logical item of “hard” clinical information created in the “clinical statement” context, within a clinical session. There can be numerous such contexts in a clinical session. Observations and other Entry types only ever document information captured/created in the event documented by the enclosing Composition. An </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is also the minimal unit of information any query should return, since a whole </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (including subparts) records spatial structure, timing information, and contextual information, as well as the subject and generator of the information. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Cluster OCC (ENV 13606:2000); Entry (prEN 13606:2006) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OMG HDTF </SPAN
+></TD>
+<TD colspan=2 style="width:538px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COAS::HealthRecordEntry and COAS::ObservationQualifier, a generic class which is used to represent context attributes which are concretely modelled here. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Synapses </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Item class is the closest match for Entry as described here. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>*_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Act </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:223px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:315px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mandatory indicator of the localised language in which this Entry is written. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “languages”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>encoding</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> CODE_PHRASE </SPAN
+></TD>
+<TD style="width:315px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of character set in which text values in this Entry are encoded. Coded from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Code Set “character sets”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: PARTY_PROXY </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Id of human subject of this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, e.g.: • organ donor • foetus • a family member • another clinically relevant person. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 67 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ENTRY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:177px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:177px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>provider</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: PARTY_PROXY </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:177px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional identification of provider of the informatoin in this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which might be: • the patient • a patient agent, e.g. parent, guardian • the clinician • a device or software Generally only used when the recorder needs to make it explicit. Otherwise, Composition composer and other participants are assumed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:223px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>other_participations</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List &lt;PARTICIPATION&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other participations at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> level. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>workflow_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: OBJECT_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of externally held workflow engine data for this workflow execution, for this subject of care. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:223px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:315px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>subject_is_self</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:315px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Returns True if this Entry is about the subject of the EHR, in which case the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subject</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_SELF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:176px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:176px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: language /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_languages).has_code(language) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Encoding_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: encoding /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_id_character sets).has_code(encoding) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Subject_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: subject_is_self </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subject.generating_type = “PARTY_SELF” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Other_participations_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other_participations /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_participations.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Archetype_root_point</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_archetype_root </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18869" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ADMIN_ENTRY Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:24px">
+<CAPTION >
+<P style="line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ADMIN_ENTRY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entry subtype for administrative information, i.e. information about setting up the clinical process, but not itself clinically relevant. Archetypes will define contained information. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for admistrative details of admission, episode, ward location, discharge, appointment (if not stored in a practice management or appointments system). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not used for any clinically significant information. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:273px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:264px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 68 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="width:190px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH colspan=2 style="vertical-align:middle; width:346px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ADMIN_ENTRY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:46px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:83px; height:46px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:264px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data of the Entry; modelled in archetypes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD style="vertical-align:top; width:190px; height:32px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data /= Void </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:346px; height:32px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18917" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CARE_ENTRY Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CARE_ENTRY (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The abstract parent of all clinical </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>subtypes. A </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>defines protocol and guideline attributes for all clinical Entry subtypes. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:220px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:315px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:216px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:220px; height:216px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>protocol</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:315px; height:216px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of the method (i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>how</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) the information in this entry was arrived at. For </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, this is a description of the method or instrument used. For </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUA-TIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, how the evaluation was arrived at. For </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, how to execute the Instruction. This may take the form of references to guidelines, including manually followed and executable; knowledge references such as a paper in Medline; clinical reasons within a largercare process. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:220px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>guideline_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: OBJECT_REF </SPAN
+></TD>
+<TD style="width:315px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional external identifier of guideline creating this action if relevant </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18943">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OBSERVATION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:31px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBSERVATION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:539px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entry subtype for all clinical data in the past or present, i.e. which (by the time it is recorded) has already occurred. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data is expressed using the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HISTORY&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which guarantees that it is situated in time. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD style="width:539px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBSERVATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used for all notionally objective (i.e. measured in some way) observations of phenomena, and patient-reported phenomena, e.g. pain. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD style="width:539px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not used for recording opinion or future statements of any kind, including instructions, intentions, plans etc. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Cluster </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 69 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBSERVATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_OBSERVATION_CONTENT, G1_SUBJECTIVE_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Observation </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: HISTORY &lt;ITEM_STRUCTURE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data of this observation, in the form of a history of values which may be of any complexity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>state</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: HISTORY &lt;ITEM_STRUCTURE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional recording of the state of subject of this observation during the observation process, in the form of a separate history of values which may be of any complexity. State may also be recorded within the History of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19000">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EVALUATION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:100px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EVALUATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entry type for evaluation statements. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="width:539px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for all kinds of statements which evaluate other information, such as interpretations of obvservations, diagnoses, differential diagnoses, hypotheses, risk assessments, goals and plans. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MisUse </SPAN
+></TD>
+<TD colspan=2 style="width:539px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Should not be used for actionable statements such as medication orders - these are represented using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INSTRUCTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_SUBJECTIVE_CONTENT </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In HL7v3, diagnoses etc seem to be </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Observations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The data of this evaluation, in the form of a spatial data structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Data_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: data /= Void </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 70 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="text-align:center; margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:413px; height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</TH>
+<TH style="text-align:right; width:236px; height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="width:413px; height:22px"/>
+<TD style="text-align:right; vertical-align:top; width:236px; height:22px">
+<A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev 5.1.0 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_19055" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.6 </SPAN
+></TH>
+<TD style="text-align:right; vertical-align:bottom; width:356px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>INSTRUCTION Class </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:236px; height:26px"/>
+</TR>
+</TABLE>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INSTRUCTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to specify actions in the future. Enables simple and complex specifications to be expressed, including in a fully-computable workflow form. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for any actionable statement such as medication and therapeutic orders, monitoring, recall and review. Enough details must be provided for the specification to be directly executed by an actor, either human or machine. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Misuse </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Not to be used for plan items which are only specified in general terms. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GEHR </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>G1_INSTRUCTION </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7v3 </SPAN
+></TD>
+<TD colspan=2 style="width:539px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Act subtype Substance_administration, any Act type which is really an action specification (cf an Act in the past) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>narrative</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_TEXT </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Mandatory human-readable version of what the Instruction is about. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>activities</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: List&lt;ACTIVITY&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of all activities in Instruction. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>expiry_time</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional expiry date/time to assist determination of when an Instruction can be assumed to have expired. This helps prevent false listing of Instructions as Active when they clearly must have been terminated in some way or other. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>wf_definition</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_PARSABLE </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional workflow engine executable expression of the Instruction. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:539px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Narrative_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: narrative /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Activities_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: activities /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> activities.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19103">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ACTIVITY Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:63px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ACTIVITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines a single activity within an Instruction, such as a medication administration. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:338px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 71 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ACTIVITY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:339px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of the activity, in the form of an archetyped structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>timing</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_PARSABLE </SPAN
+></TD>
+<TD style="width:339px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Timing of the activity, in the form of a parsable string, such as an HL7 GTS or ISO8601 string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>action_archetype_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: String </SPAN
+></TD>
+<TD style="vertical-align:top; width:339px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Perl-compliant regular expression pattern, enclosed in ‘//’ delimiters, indicating the valid archetype identifiers of archetypes for Actions corresponding to this Activity specification. Defaults to “/.*/”, meaning any archetype. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Description_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: description /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Timing_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: timing /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Action_archteype_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: action_archetype_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>action_archetype_ids.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19149" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ACTION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ACTION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to record a clinical action that has been performed, which may have been </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or due to the execution of an Activity in an Instruction workflow. Every Action corresponds to a careflow step of some kind or another. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CARE_ENTRY </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:196px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:339px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:196px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>time</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_DATE_TIME </SPAN
+></TD>
+<TD style="vertical-align:top; width:339px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Point in time at which this action completed. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:196px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>description</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="width:339px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Description of the activity to be performed, in the form of an archetyped structure. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:196px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ism_transition</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ISM_TRANSITION </SPAN
+></TD>
+<TD style="width:339px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Details of transition in the Instruction state machine caused by this Action. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="width:196px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>instruction_details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: INSTRUCTION_DETAILS </SPAN
+></TD>
+<TD style="width:339px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Details to of the Instruction that caused this Action to be performed, if there was one. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Time_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: time /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Description_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: description /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Ism_transition_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: ism_transition /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19184" style="text-align:center; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>INSTRUCTION_DETAILS Class </SPAN
+></H3>
+<IMG width=653 height=72 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/ehr_im_img_40.png">
+<P style="margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used to record details of the Instruction causing an Action. </SPAN
+></P>
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 72 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<TABLE style="text-align:center; margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INSTRUCTION_DETAILS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:47px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:198px; height:47px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>instruction_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: LOCATABLE_REF </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:47px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to causing Instruction. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>activity_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: String </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of Activity within Instruction, in the form of its archetype path. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:179px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:179px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>wf_details</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_STRUCTURE </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:179px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Various workflow engine state details, potentially including such things as: • condition that fired to cause this Action to be done (with actual variables substituted); • list of notifications which actually occurred (with all variables substituted); • other workflow engine state. This specification does not currently define the actual structure or semantics of this field. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:539px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Instruction_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: instruction_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Activity_path_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: activity_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>activity_id.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19225" style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.3.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISM_TRANSITION Class </SPAN
+></P>
+<TABLE style="text-align:center; margin-bottom:71px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISM_TRANSITION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Model of a transition in the Instruction State machine, caused by a careflow step. The attributes document the careflow step as well as the ISM transition. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PATHABLE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:198px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:342px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:198px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>current_state</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:342px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The ISM current state. Coded by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology group “Instruction states”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>transition</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="width:342px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The ISM transition which occurred to arrive in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>current_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Coded by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology group “Instruction transitions”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:198px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>careflow_step</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: DV_CODED_TEXT </SPAN
+></TD>
+<TD style="vertical-align:top; width:342px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The step in the careflow process which occurred as part of generating this action, e.g. “dispense”, “start_administration”. This attribute represents the clinical label for the activity, as  opposed to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>current_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which represents  the state machine (ISM) computable form. Defined in archetype. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 73 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:27px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<IMG width=653 height=199 style="display:block; float:none; text-align:center; margin-bottom:12px" src="images/ehr_im_img_41.png">
+<P style="text-align:left; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Current_state_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: current_state /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and the</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>n 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_for_group_id(Group_id_instruction_states</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>current_state.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Transition_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: transition /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implie</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>s 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology(Terminology_id_openehr)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_for_group_id(Group_id_instruction_transitions, transition.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19274" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>8.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Instance Structures </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following subsections illustrate typical Entry instance structures. For guidance on how to best model particular clinical statements, see the archetype part of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR knowledge repository (</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://svn.openehr.org/knowledge/project_page.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/knowledge/project_page.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></P>
+<DIV class="Sect">
+<H4 ID="LinkTarget_19279" style="margin-bottom:0px; margin-right:418px; line-height:32px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OBSERVATION </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Heartrate Measurement Series </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:20px">
+<A href="#LinkTarget_19283">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 25</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates three heartrate measurements over 10 minutes. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-10px; margin-left:144px; line-height:15px">
+<IMG width=364 height=300 style="display:block; float:left; margin-bottom:-10px; margin-left:144px" src="images/ehr_im_img_42.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="text-align:left; margin-bottom:27px; line-height:15px">
+<SPAN style=" font-weight:normal"
+><IMG width=188 height=99 style="display:block; float:left; margin-bottom:27px" src="images/ehr_im_img_43.png">
+<IMG width=16 height=65 style="display:block; float:none; text-align:right; margin-bottom:12px" src="images/ehr_im_img_44.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0103(heartrate) n = “heartrate” v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>85 bpm </SPAN
+></SPAN
+></P>
+<P style="text-align:left; margin-bottom:-10px; margin-left:508px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:537px">
+<IMG width=16 height=65 style="display:block; float:left; margin-bottom:12px; margin-left:537px" src="images/ehr_im_img_45.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:166px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>data </SPAN
+></P>
+<P style="text-align:left; margin-bottom:27px; margin-right:6px; margin-left:537px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0103(heartrate) n = “heartrate” v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>105 bpm </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-10px; margin-left:508px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="text-align:left; margin-bottom:6px; margin-left:522px">
+<IMG width=16 height=65 style="display:block; float:left; margin-bottom:6px; margin-left:522px" src="images/ehr_im_img_46.png">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:275px; margin-right:6px; margin-left:522px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0103(heartrate) n = “heartrate” v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>122 bpm </SPAN
+></P>
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 74 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<TABLE style="text-align:center; margin-bottom:20px">
+<TR>
+<TD style="vertical-align:top; width:498px; height:36px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+</TD>
+<TD style="vertical-align:top; width:150px; height:36px">
+<A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev 5.1.0 </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="vertical-align:bottom; width:498px; height:44px">
+<A href="#LinkTarget_19324">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Blood Pressure with Protocol </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 26 illustrates a blood pressure observation with protocol. </SPAN
+></A>
+</TD>
+<TD style="vertical-align:top; width:150px; height:44px"/>
+</TR>
+</TABLE>
+<IMG width=511 height=339 style="display:block; float:none; text-align:center; margin-bottom:17px" src="images/ehr_im_img_47.png">
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Glucose Tolerance Test </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An oral glucose tolerance test takes the following form, although the number and timing of the blood sugar levels may be slightly different in practice: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>challenge: no calories fasting from 12pm to 8am </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>datum: BSL - 8am </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>challenge: 75 g glucose orally - 8:01 am </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>datum: BSL - 9 am </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>datum: BSL - 10 am </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>OGTT is treated as a single clinical concept, and thus requires only one archetype. A typical instance structure is shown in </SPAN
+><A href="#LinkTarget_19390">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 27. In this example, the three blood sugars are represented by </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVENTs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, with the fasting and glucose challenges being expressed as states on the relevant events. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19347" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EVALUATION </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Partial Asthma Management Plan </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:162px; line-height:19px">
+<A href="#LinkTarget_19410">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 28</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates a partial asthma management plan in which monitoring (peak flow) with dependent actions (review and admission to ER) and therapy (bronchodilator) are shown. In a complete plan, symptom monitoring and other medications might be shown. The parts of the plan are </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 75 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:64px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:64px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>protocol </SPAN
+></P>
+<IMG width=232 height=83 style="display:block; float:none; margin-bottom:60px" src="images/ehr_im_img_48.png">
+<IMG width=117 height=81 style="display:block; float:none; text-align:center; margin-bottom:-10px; margin-right:142px; margin-left:213px" src="images/ehr_im_img_49.png">
+<IMG width=15 height=9 style="display:block; float:none; text-align:right; margin-bottom:60px; margin-right:112px; margin-left:346px" src="images/ehr_im_img_50.png">
+<IMG width=28 height=9 style="display:block; float:none; margin-bottom:139px; margin-right:440px; margin-left:4px" src="images/ehr_im_img_51.png">
+<IMG width=151 height=81 style="display:block; float:none; text-align:center; margin-bottom:63px; margin-right:109px; margin-left:214px" src="images/ehr_im_img_52.png">
+<P style="text-align:; margin-bottom:27px; margin-right:115px; margin-left:334px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="margin-bottom:10px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>events </SPAN
+></P>
+<P style="text-align:; margin-bottom:85px; margin-right:111px; margin-left:336px">
+<IMG width=179 height=353 style="display:block; float:left; margin-bottom:60px; margin-right:111px; margin-left:336px" src="images/ehr_im_img_53.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>state </SPAN
+></P>
+<IMG width=16 height=165 style="display:block; float:none; text-align:right; margin-bottom:60px; margin-right:109px; margin-left:348px" src="images/ehr_im_img_54.png">
+<IMG width=120 height=81 style="display:block; float:none; text-align:center; margin-bottom:63px; margin-right:139px; margin-left:214px" src="images/ehr_im_img_55.png">
+<P style="text-align:; margin-bottom:27px; margin-right:115px; margin-left:334px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>data </SPAN
+></P>
+<P style="text-align:; margin-bottom:114px; margin-right:115px; margin-left:334px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>state </SPAN
+></P>
+<P style="text-align:; margin-bottom:39px; margin-right:115px; margin-left:334px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>item </SPAN
+></P>
+<P style="text-align:; margin-bottom:64px; margin-right:115px; margin-left:334px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>state </SPAN
+></P>
+<IMG width=165 height=257 style="display:block; float:none; margin-bottom:63px" src="images/ehr_im_img_56.png">
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:33px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0010 (state) n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>post-challenge</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>“post 75g oral glucose” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0007 (BSL) n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>BSL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>8 mmol/L </SPAN
+></P>
+<P style="text-align:left; margin-bottom:3px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>ITEM_SINGLE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = at0010 (state) n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>post-challenge</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:22px; margin-left:535px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>“post 75g oral glucose”</SPAN
+></P>
+<P style="margin-bottom:6px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 27 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>OGTT Instance Structure </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>linked to the root </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EVALUATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> node via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>links</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;LINK&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute inherited from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATA</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. </SPAN
+></P>
+<IMG width=41 height=9 style="display:block; float:none; text-align:center; margin-bottom:63px; margin-right:338px; margin-left:231px" src="images/ehr_im_img_57.png">
+<DIV class="Sect">
+<H5 style="text-align:; margin-bottom:27px; margin-right:421px; margin-left:164px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000; text-decoration:underline"
+>LINK </SPAN
+></H5>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>source </SPAN
+></P>
+<P style="text-align:; margin-bottom:-10px; margin-right:428px; margin-left:164px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = </SPAN
+></P>
+<P style="margin-bottom:0px">
+<IMG width=251 height=185 style="display:block; float:left; margin-bottom:63px" src="images/ehr_im_img_58.png">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>target </SPAN
+></P>
+<P style="text-align:; margin-bottom:27px; margin-right:145px; margin-left:418px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>definition </SPAN
+></P>
+<P style="text-align:; margin-bottom:64px; margin-right:400px; margin-left:164px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>“therapy” </SPAN
+></P>
+<IMG width=171 height=51 style="display:block; float:none; text-align:center; margin-bottom:6px; margin-right:166px; margin-left:274px" src="images/ehr_im_img_59.png">
+<P style="text-align:; margin-bottom:0px; margin-right:463px; margin-left:124px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>links </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>source </SPAN
+></P>
+<P style="text-align:; margin-bottom:27px; margin-right:225px; margin-left:363px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>data </SPAN
+></P>
+<P style="text-align:; margin-bottom:64px; margin-right:350px; margin-left:231px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>target </SPAN
+></P>
+<IMG width=148 height=51 style="display:block; float:none; text-align:center; margin-bottom:60px; margin-right:215px; margin-left:248px" src="images/ehr_im_img_60.png">
+<P style="margin-bottom:50px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 28 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Partial Asthma Management Plan </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 76 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19424" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>8.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>INSTRUCTION </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Chained Medication Order </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Often, a medication order for one drug consists of segments in which one or more of the administration details of route, form, frequency, dose etc is changed. In hospitals, intravenous antibiotics and pain relief drugs may be followed by a tablet form of the same drug to be taken orally. Other examples are common in general practice, such as the following order: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:6px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trade name = Panafcortelone; generic name = Prednisolone; form = tablets; dose = 25mg; route = oral; freq = bd x 3 days; od x 2 days. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:89px; line-height:19px">
+<A href="#LinkTarget_19453">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 29</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the instance structure for this Instruction. Note that the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>timing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTIVITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance is shown in human-readable form; in reality it will be a GTS string or similar (see Timing Specification section of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types IM). </SPAN
+></P>
+<IMG width=404 height=81 style="display:block; float:none; margin-bottom:56px" src="images/ehr_im_img_61.png">
+<TABLE style="margin-bottom:22px">
+<CAPTION  style="margin-bottom:22px">
+<P style="margin-bottom:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 29 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>Chained medication order </SPAN
+></P>
+</CAPTION>
+<TR>
+<TH colspan=2 style="width:217px; height:19px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>ITEM_LIST </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="width:217px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “medication description” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>medication description</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:106px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “generic name” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>generic name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+<TD style="vertical-align:top; width:111px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>prednisolone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:106px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “trade name” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>trade name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+<TD style="vertical-align:top; width:111px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>panefcortelone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:106px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “route” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>route</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+<TD style="vertical-align:top; width:111px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>oral</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:106px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “dose” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>dose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+<TD style="vertical-align:top; width:111px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>25mg</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:106px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>m = “...” n = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>...</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TH>
+<TD style="vertical-align:top; width:111px; height:32px; background-color:#FFFF80; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>v = “</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#000000"
+>...</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>” </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Multi-drug Therapy </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:6px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A common regime for treating duodenal ulcer and related complaints is using Losec with other drugs, such as in the following combination: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Losec 40 mg od x 4w or until no symptoms </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>amoxicillin 500 mg 3td x 7d </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:290px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>metronidizole 400 mg 3td x 7d </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 77 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Entry Package </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Instruction for this therapy is illustrated in </SPAN
+><A href="#LinkTarget_19488">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 30. </SPAN
+></A>
+</P>
+<IMG width=233 height=212 style="display:block; float:none; text-align:right; margin-bottom:24px" src="images/ehr_im_img_62.png">
+<IMG width=472 height=663 style="display:block; float:none; margin-bottom:27px" src="images/ehr_im_img_63.png">
+<P style="margin-bottom:228px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>description </SPAN
+></P>
+<P style="margin-bottom:223px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>description </SPAN
+></P>
+<P style="margin-bottom:27px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>description </SPAN
+></P>
+<IMG width=233 height=212 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/ehr_im_img_64.png">
+<IMG width=233 height=211 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/ehr_im_img_65.png">
+<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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 78 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Glossary Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_19509" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A Glossary </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19511">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>EHR Terms </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>HC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Health care agent - any doctor, nurse or other recognised staff mem</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ber, or software or device </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>HC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>F 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Health care facility - any place where EHRs are kept </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>HC</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>P 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Health care professional - any doctor, nurse or other recognised staff member of an HCF </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19520">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Clinical Terms </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:17px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Care Pathwa</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>y 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A global care management strategy for a patient, showing manage</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ment of health problems or issues in a time-based framework, similar to a project management view of an engineering work. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:-3px; margin-left:72px; line-height:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Contribution Episode A series of clinical events linked in time, such as a hospital admission </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; line-height:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>or a surgical episode. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:72px; line-height:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Event </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:72px; line-height:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Extract </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:21px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Issu</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>e 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A problem as identified by the patient, e.g. “inability to do exercise due </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>to breathing difficulty”; may be the object of wider health care, e.g. social workers, physiotherapists etc. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:72px; line-height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Section </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Proble</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>m 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A health problem of the patient, as identified by its underlying medical cause, e.g. asthma; the object of medical care. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:72px; line-height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Composition </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19536">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>IT Terms </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:0px; margin-left:72px; line-height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>.NET </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>AP</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>I 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Application programmer’s interface - the software interface to a library or module. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>CO</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>M 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Microsoft’s Component Object Model; designed to enable integration of binary components obeying stated exported interfaces. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:-3px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>CORB</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Common Object Request Broker Architecture - an object-oriented mid</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>dleware architecture enabling the construction of 3-tier systems, in which backend data providers (DBMSs etc) are known only by the services they export to the network. CORBA is an open standard man</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>aged by the Object Management Group (OMG). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>DCO</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>M 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>Distributed version of Microsoft COM. Similar in its aim to CORBA. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:72px; line-height:20px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>J2EE </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:192px; text-indent:-119px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>ODMG-9</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>A standard for object databases, which includes an object definition </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:80px; margin-left:192px; line-height:18px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:10.9pt; font-weight:normal; color:#000000"
+>language (ODL) for writing schemas, an object query language (OQL) for querying, and several language bindings </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 79 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_19567" style="margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>B References </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19569" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:10px; margin-right:22px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Barretto S A. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Designing Guideline-based Workflow-Integrated Electronic Health Records</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2005. PhD dissertation, University of South Australia. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.cis.unisa.edu.au/~cissab/Barretto_PhD_Thesis_Revised_FINAL.pdf">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.cis.uni</SPAN
+></A>
+<A href="http://www.cis.unisa.edu.au/~cissab/Barretto_PhD_Thesis_Revised_FINAL.pdf">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>sa.edu.au/~cissab/Barretto_PhD_Thesis_Revised_FINAL.pdf</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Berners-Lee T. &quot;Universal Resource Identifiers in WWW&quot;. Available  at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+</SPAN
+><A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tp://www.ietf.org/rfc/rfc2396.txt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is a World-Wide  Web  RFC for global identification of resources. In current use on the web, e.g. by Mosaic, Netscape and similar tools. See </SPAN
+><A href="http://www.w3.org/Addressing">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://www.w3.org/Addressing</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for a starting point on URIs. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.deepthought.com.au/it/archetypes.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-right:29px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A Systematic Theory of Clinical Recording</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2006. Publication to be announced. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A Model of Clinical Context for EHR Recording. 2006</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Publishing to be announced. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An Ontological Framework for Understanding Clinical Information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2006. Publishing to be announced. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Browne E D. Workflow Modelling of Coordinated Inter-Health-Provider Care Plans. 2005. PhD dissertation, University of South Australia. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.openehr.org/publications/workflow/t_browne_thesis_abstract.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.openehr.org/publica</SPAN
+></A>
+<A href="http://www.openehr.org/publications/workflow/t_browne_thesis_abstract.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tions/workflow/t_browne_thesis_abstract.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Elstein AS, Shulman LS, Sprafka SA. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical problem solving: an analysis of clinical reason</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Cambridge, MA: Harvard University Press 1987. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Elstein AS, Schwarz A. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Evidence base of clinical diagnosis: Clinical problem solving and di</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>agnostic decision making: selective review of the cognitive literature</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. BMJ 2002;324;729-732. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Gray J, Reuter A. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Transaction Processing Concepts and Techniques</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Morgan Kaufmann 1993. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Müller R. Event-oriented Dnamic Adaptation of Workflows: Model, Architecture, and Implementation. 2003. PhD dissertation, University of Leipzig. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.openehr.org/publications/workflow/t_mueller_thesis_abstract.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.opene</SPAN
+></A>
+<A href="http://www.openehr.org/publications/workflow/t_mueller_thesis_abstract.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>hr.org/publications/workflow/t_mueller_thesis_abstract.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-right:7px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Rector A L, Nowlan W A, Kay S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Foundations for an Electronic Medical Record</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The IMIA Yearbook of Medical Informatics 1992 (Eds. van Bemmel J, McRay A). Stuttgart Schattauer 1994. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Rossi-Mori A, Consorti F. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Assembling clinical information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Note sent to HL7v3 discussion list, 2001-04-19. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sowa J F. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Knowledge Representation: Logical, philosophical and Computational Foundations</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2000, Brooks/Cole, California. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:50px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schloeffel P. (Editor). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Requirements for an Electronic Health Record Reference Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. International Standards Organisation, Australia; Feb 2002; ISO TC 215/SC N; ISO/WD 18308. </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 80 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:0px; margin-left:587px; text-indent:-586px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Mode</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>l 	</SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sottile P.A., Ferrara F.M., Grimson W., Kalra D., and Scherrer J.R. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The holistic healthcare in</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>formation system</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Toward an Electronic Health Record Europe 1999. Nov 1999; 259-266. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-right:17px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Van de Velde R, Degoulet P. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical Information Systems: A Component-Based Approach</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 2003. Springer-Verlag New York. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Weed LL. Medical records, medical education and patient care. 6 ed. Chicago: Year Book Medical Publishers Inc. 1969. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19643" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>European Projects </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R., Grubb P.A., Lloyd D., and Kalra D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Consolidated List of Requirements. EHCR Sup</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>port Action Deliverable 1.4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. European Commission DGXIII, Brussels; May 200159pp Available from </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dixon R, Grubb P, Lloyd D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHCR Support Action Deliverable 2.4 &quot;Guidelines on Interpreta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion and implementation of CEN EHCRA&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Oct 2000. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ht</SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tp://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ingram D. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Good European Health Record Project</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Laires, Laderia Christensen, Eds. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>H</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ealth in the New Communications Age. Amsterdam: IOS Press; 1995; pp. 66-74. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-right:23px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lloyd D, et al</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. EHCR Support Action Deliverable 3.1&amp;3.2 “Interim Report to CEN”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. July 1998. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-right:23px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 4: GEHR Requirements for Clinical Comprehensiveness. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 1992 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 7: Clinical Functional Specifications. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 1993 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-right:23px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 8: Ethical and legal Requirements of GEHR Architecture and Systems. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 1994 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Deliverable 19,20,24: GEHR Architecture. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project 30/6/1995 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Grimson W. and Groth T. (Editors). The Synapses User Requirements and Functional Specification (Part B). EU Telematics Application Programme, Brussels; 1996; The Synapses Project: Deliverable USER 1.1.1b. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Kalra D. (Editor). The Synapses User Requirements and Functional Specification (Part A). EU Telematics Application Programme, Brussels; 1996; The Synapses Project: Deliverable USER 1.1.1a. 6 chapters, 176 pages. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; margin-right:23px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Kalra D. (Editor). Synapses ODP Information Viewpoint. EU Telematics Application Programme, Brussels; 1998; The Synapses Project: Final Deliverable. 10 chapters, 64 pages. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19681" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>CEN </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:50px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 81 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+><A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-2 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 2: Domain term list</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-3 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic healthcare record communication - Part 3: Distribution rules</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-4 -</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19704" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>GEHR Australia </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:10px; margin-right:112px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Project Australia, GPCG Trial</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Available at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org/gpcg/ehra.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.ge</SPAN
+></A>
+<A href="http://www.gehr.org/gpcg/ehra.htm">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>hr.org/gpcg/ehra.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>GEHR Technical Requirements</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.gehr.org/technical/require</SPAN
+></A>
+<A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>ments/gehr_requirements.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19716" style="text-align:left; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>HL7v3 </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:10px; margin-right:22px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schadow G, McDonald C J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Unified Code for Units of Measure</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, Version 1.4, April 27, 2000. Regenstrief Institute for Health Care, Indianapolis. See  </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://aurora.rg.iupui.edu/UCUM">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://aurora.rg.iu-</SPAN
+></A>
+<A href="http://aurora.rg.iupui.edu/UCUM">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>pui.edu/UCUM </SPAN
+></A>
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:10px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schadow G, Russler D, Mead C, Case J, McDonald C. HL7 version 3 deliverable: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Unified Service Action Model : Documentation for the clinical area of the HL7 Reference Information Model</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (Revision 2.4+). </SPAN
+></P>
+<P style="text-align:left; margin-bottom:20px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Schadow G, Biron P. HL7 version 3 deliverable: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version 3 Data Types</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (DRAFT Revision 1.0). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19727" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>OMG </SPAN
+></H3>
+<P style="text-align:; margin-bottom:20px; margin-right:232px; margin-left:77px; text-indent:-47px; line-height:26px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>40 CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Person Identification Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999). (Authors?) 41 CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical Observations Access Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (Jan 2000) 3M, Care Data Systems, CareFlow/Net, HBO &amp; C, LANL, and others. 42 CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Lexicon Query Service</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. (March 1999) (Authors?) </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19730" style="text-align:left">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Software Engineering </SPAN
+></H3>
+<P style="text-align:; margin-bottom:45px; margin-right:269px; margin-left:77px; text-indent:-47px; line-height:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>43 Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, 2nd Ed. Prentice Hall 1997 44 Walden K, Nerson J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Seamless Object-oriented Software Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Prentice Hall 1994 45 Gamma E, Helm R, Johnson R, Vlissides J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Design patterns of Reusable Object-oriented Soft</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ware </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 82 of 84 </SPAN
+></A>
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:0px; margin-left:587px; text-indent:-586px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Mode</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>l 	</SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>References </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:6px; margin-right:352px; margin-left:24px; text-indent:48px; line-height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison-Wesley 1995 46 Fowler M. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Analysis Patterns: Reusable Object Models </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley 1997 </SPAN
+></P>
+<P style="text-align:; margin-bottom:20px; margin-right:236px; margin-left:80px; text-indent:-47px; line-height:24px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>47 Fowler M, Scott K. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UML Distilled (2nd Ed.) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Addison Wesley Longman 2000 48 Booch G, Rumbaugh J, Jacobsen I. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Unified Modelling Language User Guide</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Addison es-ley 1999. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_19751" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>B.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Resources </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:10px; line-height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>49 Arden Syntax. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.cpmc.columbia.edu/arden/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.cpmc.columbia.edu/arden</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>/ 
+</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>50 Asbru / The Asgaard Project. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://smi-web.stanford.edu/projects/asgaard/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://smi-web.stanford.edu/projects/asgaard</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>/ 
+</SPAN
+></A>
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-right:34px; margin-left:48px; text-indent:-47px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Digital Imaging ad Communications in Medicine (DICOM). </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://medical.nema.org/dicom.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://medical.nema.org/di</SPAN
+></A>
+<A href="http://medical.nema.org/dicom.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>com.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; line-height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>52 EON ref require</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>53 GLIF (Guideline Interchange Format). </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.glif.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.glif.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>54 IANA -</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.iana.org/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.iana.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:467px; margin-right:56px; line-height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>55 ProForma language for decision support. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.acl.icnet.uk/lab/proforma.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.acl.icnet.uk/lab/proforma.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 56 SynEx project, UCL. </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.chime.ucl.ac.uk/HealthI/SynEx/">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>http://www.chime.ucl.ac.uk/HealthI/SynEx/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19794">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 83 of 8</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>4 	</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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15636">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>EHR Information Model </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_15768">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5.1.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15640">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19793">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 84 of 84 </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_15773">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15755">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
Index: /adl/trunk/pdf2html/rm/integration_im/integration_im.htm
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+<META
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+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
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+<UL>
+<LI>
+<A href="#LinkTarget_2243">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2290">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2324">Acknowledgements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2355">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2438">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2440">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2463">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2473">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2484">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2492">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2521">2 Integration Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2523">2.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2532">2.2 Design Basis</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2534">2.2.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2576">2.2.2 Semantics of GENERIC_ENTRY</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2599">2.2.3 Use with openEHR Extracts</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2603">2.2.4 Integration with CEN EN13606</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2608">2.3 Data Conversion Architecture</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2636">2.4 Class Descriptions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2638">2.4.1 GENERIC_ENTRY Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_2676">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2679">A.1 Standards</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/integration_im_img_0.png">
+<IMG width=424 height=232 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/integration_im_img_1.png">
+<TABLE>
+<TR>
+<TH style="vertical-align:top; width:117px; height:30px; border-style: solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TH colspan=2 style="width:284px; 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'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>T Beale</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_2303">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</TD>
+<TD style="width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>15 </SPAN
+></SPAN>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>22 Jul 2006 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<P style="text-align:; margin-bottom:29px; margin-right:251px; margin-left:71px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></P>
+<P style="margin-bottom:39px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, reference model, integration, EN13606, openehr </SPAN
+></P>
+<TABLE style="margin-bottom:119px">
+<TR>
+<TH colspan=4 style="text-align:center; width:245px; height:24px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:1px 6px 5px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>EHR Extract </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:top; width:198px; height:24px; border-style:solid; border-color:#000000; border-width:1px 2px 5px 6px"/>
+</TR>
+<TR>
+<TH style="text-align:center; width:42px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 7px 5px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 5px 5px 7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:88px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 6px 5px 5px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Integration </SPAN
+></TD>
+<TD colspan=2 style="width:198px; height:23px; background-color:#96FF52; border-style:solid; border-color:#000000; border-width:5px 2px 5px 6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; width:245px; height:23px; background-color:#00FFFF; border-style: solid solid none solid; border-color: #000000; border-width:5px 6px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=2 style="width:198px; height:23px; background-color:#C9FF5C; border-style: border-style:solid solid none solid; border-color: #000000; border-width:5px 2px 1px 6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>EHR Archetype Profile </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=2 style="text-align:center; width:119px; height:23px; background-color:#B3FBE6; border-style: none solid none solid; border-color: #000000; border-width:1px 6px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 style="width:120px; height:23px; background-color:#B3FBE6; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 6px 1px 6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Common </SPAN
+></TD>
+<TD style="width:150px; height:23px; background-color:#C9FF5C; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 9px 1px 6px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Archetype OM </SPAN
+></TD>
+<TD style="width:39px; height:23px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 2px 1px 9px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>ADL </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=6 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=6 style="text-align:center; vertical-align:top; width:449px; height:23px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=6 style="text-align:center; vertical-align:top; width:449px; height:24px; background-color:#D6FBF9; 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:#ADADAD"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Part"
+><H5>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:20px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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="vertical-align:top; width:63px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>David Ingram, Professor of Health Informatics, </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="vertical-align:top; width:63px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>CHIME, University College London </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:63px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:392px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="vertical-align:top; width:63px; height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:392px; height:18px"/>
+</TR>
+<TR>
+<TH style="vertical-align:top; width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:392px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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_2181">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+</P>
+<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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_2243">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; 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'; 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'; 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'; 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'; 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'; 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'; 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:566px; text-indent:-565px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<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"
+>5 	</SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2237">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_2181">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:34px; 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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_2290" style="text-align:justify; margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:15px">
+<TR>
+<TH style="text-align:center; width:105px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="text-align:right; width:354px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Who </SPAN
+></TH>
+<TH style="text-align:center; width:104px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></TD>
+<TD style="text-align:right; width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000203</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Release 1.0 explanatory text improvements. Added section on </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR Extract. Added integration archi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>tecture diagram </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>22 Jul 2006 </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="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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; width:105px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.5 </SPAN
+></TD>
+<TD style="text-align:right; width:354px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Initial Writing </SPAN
+></TD>
+<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>15 Sep 2005 </SPAN
+></TD>
+</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="text-align:right; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:85px; 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>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_2324" style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:633px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded by The University College, London and Ocean Informatics, Australia. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2219">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2237">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_2181">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 15 </SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_2237">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:8px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_2355" style="text-align:; margin-bottom:8px; margin-right:137px; margin-left:257px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2438">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction.............................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2440">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2463">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2473">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status......................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2484">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ............................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:8px">
+<A href="#LinkTarget_2492">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2521">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Integration Package ................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2523">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Requirements .........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2532">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Design Basis ..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2534">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.1 Overview..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2576">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.2 Semantics of GENERIC_ENTRY .................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2599">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.3 Use with openEHR Extracts ..........................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2603">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.4 Integration with CEN EN13606 ....................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2608">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.3 Data Conversion Architecture .............................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2636">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.4 Class Descriptions................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:8px">
+<A href="#LinkTarget_2638">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.4.1 GENERIC_ENTRY Class .............................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2676">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References ............................................................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:554px">
+<A href="#LinkTarget_2679">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 Standards..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 15 </SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_2438">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the architecture of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Integration Information Model, designed for use in legacy and other integration situations. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intended audience includes: </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'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; </SPAN
+></LI>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community; </SPAN
+></LI>
+<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'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical informaticians and clinicians intersted in health information; </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health data managers. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2463">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:justify; margin-bottom:20px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model documents </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2473">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/integration_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/integration_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/integration_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/integration_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/integration_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/integration_im.pdf</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2484">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tent. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2492">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:39px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is deter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Introduction </SPAN
+><A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 15 </SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Package Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_2521">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Integration Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2523">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Getting data in and out of the EHR is one of the most basic requirements </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR aims to satisfy. In “greenfield” (new build) situations, and for data being created by GUI applications via the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR EHR APIs, there is no issue, since native </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR structures and semantics are being used. In almost all other situations, existing data sources and sinks have to be accounted for. In general, external or ‘legacy’ data (here the term is used for convenience, and does not imply anything about the age or quality of the systems in question) have different syntactic and semantic formats than </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data, and seamless conversion requires addressing both levels. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Typical examples of legacy data sources and sinks include relational databases, HL7v2 messages, and HL7 CDA documents. HL7v2 messages are probably one of the most common sources of pathology messages in many countries; EDIFACT messages are another. More recently, HL7v2 messages have been designed for referrals and even discharge summaries. Not all legacy systems are standardised; many if not most hospitals as well as GP and other desktop products have their own private models of data and terminology usage. Technically speaking, there is not much difference between standardised and non-standardised legacy models; only the reusability of the solution differs. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Another important category of externally sourced data addressed by the Integration package described here is data expressed in a form of a CEN EN13606 Extract. Part 1 of EN13606 defines a information model which is nearly identical to that of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR at the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>levels. The CEN EN13606 </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is a generic structure with a minimum of contextual meta</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data, and can easily be mapped to the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Entry type described in this specification. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The primary need with respect to legacy data is to be able to convert data from multiple mutually incompatible sources into a single, standardised patient-centric EHR for each patient, that can then be longitudinally viewed and queried. This is what enables GP and specialist notes, diagnoses and plans to be integrated with laboratory results from multiple sources, patient notes, administrative data and so on, to provide a coherent record of the patient journey. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In technical terms, a number of types of incompatibility have to be dealt with. There is no guarantee of correspondence of scope of incoming transactions and target </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR structures - an incoming document for example might correspond to a number of clinical archetypes. Structure will not usually correspond, with legacy data (particularly messages) usually having flatter structures than those defined in target archetypes. Terminology use is extremely variable in existing systems and messages, and also has to be dealt with. Data types will also not correspond directly, so that for example, a map</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ping between an incoming string “110/80 mmHg” and the target </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR form of two </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_QUANTITY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects each with their own value and units has to be made. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2532" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design Basis </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2534" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:29px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The design basis for connecting existing systems to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is founded upon a clear separation of the syntactic and semantic transformations required on data. The syntactic transformation converts source data from its original form (or whatever intermediate form it may have been converted to) to a format obeying a special class in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, but whose logical structure and semantics are controlled by ‘integration’ archetypes so as to mimic the design of the source data. This step brings the data into the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR computational context. The second step causes transformation </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Package </SPAN
+><A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>on this intermediate </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data into data which are a) instances of the main </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, and b) obey ‘designed’ clinical archetypes. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The additional elements of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR architecture which make this transformation possible are: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is a sibling of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and contains com</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>pletely generic, archetypable structures; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>‘integration’ archetypes, i.e. archetypes defined against the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>semantic transformation rules from </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data based on </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and integra</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:20px; text-indent:60px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion archetypes to data based on the subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and designed archetypes. </SPAN
+><A href="#LinkTarget_2574">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 1 </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>illustrates the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.integration</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, which contains a single class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Unlike other classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> contains no hard-wired attributes at all, only one generic attribute, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. No assumptions at all are made about the actual shape of such data. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>LOCATABL</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>E </SPAN
+></P>
+<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:#96B5B8"
+>(rm.common.archetyped</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
+>) </SPAN
+></P>
+<IMG width=396 height=161 style="display:block; float:none; text-align:center; margin-bottom:15px" src="images/integration_im_img_2.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.integration Package </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2576" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Semantics of GENERIC_ENTRY </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A number of useful consequences follow from this modelling approach. Firstly, instances of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will contain attributes inherited from the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, including </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>archetype_node_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, and are thus archetypable in the same way as all other classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>feeder_audit</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is also inherited, and may be used to mark every node of data with relevant meta-data from the source system record or message. Secondly, as a subtype of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a valid value for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>content</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is a completely desirable situation, since the same rules apply to </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> as to other content: instances can only be committed to the record as part of a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data are thus audit-trailed and versioned in the normal way. Thirdly, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances can occur within a hierarchy of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SECTIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which is useful for data sources which have headings or sec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion equivalents (this is quite common in hospital information systems containing physician notes). Lastly, in common with all other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data, design-time paths can be constructed for archetypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, while runtime paths can be extracted from data based on such archetypes. These path sets can be used for writing the data transformation rules. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:29px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It should be remembered that while </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> provides a standardised syntactic form for externally sourced data within </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, it provides no semantic coherence. This is particularly true for </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instances sourced from numerous data sources: there is no guarantee that the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> representations of “cholesterol result” from system A will be congruent with those sourced from system B. It is not even required that the data sources be vastly different for this prob-</SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:566px; text-indent:-565px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 1</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>5 	</SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Package Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lem to occur. Examples of messages can be found coming from different pathology laboratories, which obey the same minor version of HL7v2 (e.g. 2.3.1) and supposedly implement the same mes</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sage type (e.g. “complete blood picture”) but which differ in actual structure and content. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The consequence of this situation is that </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> data cannot in general be safely used for clinical computation (e.g. decision support), and will not in general even support reliable clinical que</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rying. In other words, a repository of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRYs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (within appropriate </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> struc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tures) does not constitute a reliable or interoperable health record - it can only be considered a standardised health information data store whose primary purpose is as the input to or output of semantic conversion processes, or for other auditing or non-clinical data management purposes. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2599" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Use with </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Extracts </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class provides a way to represent data from non-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems that imple</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ment the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Extract specification in order to either communicate with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems, or to communicate with other systems also implementing the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Extract specification. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2603" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Integration with CEN EN13606 </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class provides a convenient basis for making </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR systems EN13606</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>compliant, which in turn gives </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR a gateway capability in heterogeneous environments where EN13606 is being used to communicate data. A CEN EN13606 EHR Extract can be converted to a series of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITIONs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> containing </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> objects which obey appropriate integration archetypes; this data can then be semantically converted into orthodox </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR objects for integra</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion into a coherent EHR. Similarly, </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR data can be converted into the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>-based intermediate form for further conversion into EN13606 EHR Extracts. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2608">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Data Conversion Architecture </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:48px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The integration archetype-based strategy for importing data into an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system, shown in </SPAN
+><A href="#LinkTarget_2616">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIG</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+></A>
+<A href="#LinkTarget_2616">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>URE 2, consists of two steps. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:29px; margin-left:20px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>CDA 1.0 </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-right:21px; margin-left:11px; text-indent:-9px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>HL7v2.5 path </SPAN
+></P>
+<IMG width=9 height=8 style="display:block; float:none; text-align:right; margin-bottom:75px; margin-right:13px; margin-left:43px" src="images/integration_im_img_3.png">
+<IMG width=603 height=363 style="display:block; float:none; text-align:right; margin-bottom:78px" src="images/integration_im_img_4.png">
+<P style="text-align:left; margin-bottom:-11px; margin-left:18px; line-height:13px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>HIS Db .csv files </SPAN
+></P>
+<IMG width=9 height=7 style="display:block; float:none; text-align:right; margin-bottom:239px" src="images/integration_im_img_5.png">
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Integration Package </SPAN
+><A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Firstly, data are converted from their original syntactic format into </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>/</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>SEC</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>/</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> structures, shown in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR integration switch. Most of the data will appear in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>GENERIC_ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> part, controlled by an integration archetype designed to mimic the incoming structure (such as an HL7v2 lab message) as closely as possible; </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>structures are used to contain integration meta-data. The result of this step is data that are expressed in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR type system (i.e. as instances of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR reference model), and are immediately ame</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>nable to processing with normal </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR software. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:20px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In the second step, semantic transformation is effected, by the use of mappings between integration and designed archetypes. Such mappings are created by archetype authors using tools. The mapping rules are the key to defining structural transformations, use of terminological codes, and other changes. Serious challenges of course remain in the business of integrating heterogeneous systems; some of these are dealt with in the Common IM document sections on Feeder systems. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2636" style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2638" style="margin-bottom:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>GENERIC_ENTRY Class </SPAN
+></H3>
+<TABLE style="margin-bottom:316px">
+<TR>
+<TH style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GENERIC_ENTRY </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This class is used to create intermediate representations of data from sources not otherwise conforming to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR classes, such as HL7 messages, relational databases and so on. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CEN </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Entry </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CONTENT_ITEM </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: ITEM_TREE </SPAN
+></TD>
+<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The ‘data’ from the source message or record. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 15 </SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </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_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_2676" style="margin-bottom:39px; margin-left:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></H2>
+<TABLE style="margin-bottom:789px">
+<TR>
+<TD ID="LinkTarget_2679" style="vertical-align:top; width:41px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:603px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Standards </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:bottom; width:41px; height:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:603px; height:25px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:41px; height:26px"/>
+<TD style="vertical-align:top; width:603px; height:26px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:bottom; width:41px; height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:603px; height:18px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HL7 version 2 ref.... </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>References </SPAN
+><A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 22 Jul 2006 </SPAN
+></A>
+<A href="#LinkTarget_2718">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 15 </SPAN
+></A>
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_2180">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Integration Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:34px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_2303">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>0.6 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_2185">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:T Beale </SPAN
+></A>
+<A href="#LinkTarget_2717">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 15 </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_2307">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>22 Jul 2006 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_2290">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</BODY>
+</HTML>
Index: /adl/trunk/pdf2html/rm/support_im/support_im.htm
===================================================================
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+<META
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+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_15382">Copyright Notice</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15429">Amendment Record</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15625">Table of Contents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15939">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_15941">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15957">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15967">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15979">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_15987">1.5 Conformance</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16016">2 Support Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16019">2.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16043">2.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16043">2.2.1 EXTERNAL_ENVIRONMENT_ACCESS Class</A>
+</LI>
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+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16093">3 Assumed Types</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16095">3.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16135">3.2 Inbuilt Primitive Types</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16208">3.2.1 Any Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16239">3.2.2 Ordered Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16261">3.2.3 Numeric Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16309">3.2.4 Ordered_numeric Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16327">3.2.5 Boolean Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16404">3.2.6 Real Type</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_16425">3.3 Assumed Library Types</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16488">3.3.1 String Type</A>
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+<A href="#LinkTarget_16522">3.3.1.1 UNICODE</A>
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+<LI>
+<A href="#LinkTarget_16525">3.3.2 Aggregate Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16563">3.3.3 List Type</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16586">3.3.4 Set Type</A>
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+<A href="#LinkTarget_16628">3.3.6 Hash Type</A>
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+<A href="#LinkTarget_16652">3.3.7 Interval Type</A>
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+<LI>
+<A href="#LinkTarget_16711">3.4 Date/Time Types</A>
+<UL>
+<LI>
+<A href="#LinkTarget_16776">3.4.1 TIME_DEFINITIONS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_16913">3.4.2 ISO8601_DATE Class</A>
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+<LI>
+<A href="#LinkTarget_16994">3.4.3 ISO8601_TIME Class</A>
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+<LI>
+<A href="#LinkTarget_17118">3.4.4 ISO8601_DATE_TIME Class</A>
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+<LI>
+<A href="#LinkTarget_17254">3.4.5 ISO8601_TIMEZONE Class</A>
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+<LI>
+<A href="#LinkTarget_17306">3.4.6 ISO8601_DURATION Class</A>
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+<UL>
+<LI>
+<A href="#LinkTarget_17413">4.1 Overview</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17420">4.1.1 Requirements</A>
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+<LI>
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+<UL>
+<LI>
+<A href="#LinkTarget_17538">4.2.1 Primitive Identifiers</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17560">4.2.2 Composite Identifiers</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17585">4.2.3 References</A>
+</LI>
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+<LI>
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+<UL>
+<LI>
+<A href="#LinkTarget_17602">4.3.1 UID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17625">4.3.2 ISO_OID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17646">4.3.3 UUID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17688">4.3.4 INTERNET_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17707">4.3.4.1 Syntax</A>
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+<LI>
+<A href="#LinkTarget_17722">4.3.5 OBJECT_ID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17760">4.3.6 UID_BASED_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17794">4.3.6.1 Identifier Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17797">4.3.7 HIER_OBJECT_ID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_17832">4.3.8 OBJECT_VERSION_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17869">4.3.8.1 Identifier Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17888">4.3.9 VERSION_TREE_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_17932">4.3.9.1 Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_17951">4.3.10 ARCHETYPE_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18015">4.3.10.1 Archetype ID Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18054">4.3.11 TEMPLATE_ID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18094">4.3.12 TERMINOLOGY_ID Class</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18124">4.3.12.1 Identifier Syntax</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18150">4.3.13 GENERIC_ID Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18174">4.3.14 OBJECT_REF Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18222">4.3.15 ACCESS_GROUP_REF Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18240">4.3.16 PARTY_REF Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18268">4.3.17 LOCATABLE_REF Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18329">5 Terminology Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18330">5.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18333">5.2 Service Interface</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18334">5.2.1 Code Sets</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18344">5.2.2 Terminologies</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18346">5.2.3 Terms and Codes in the openEHR Reference Model</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18391">5.3 Identifiers</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18393">5.3.1 Code Set Identifiers</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18396">5.3.2 Terminology Identifiers</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_18886">5.4 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_18887">5.4.1 TERMINOLOGY_SERVICE Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_18972">5.4.2 TERMINOLOGY_ACCESS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19021">5.4.3 CODE_SET_ACCESS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19052">5.4.4 OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19153">5.4.5 OPENEHR_CODE_SET_IDENTIFIERS Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19234">6 Measurement Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19235">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19249">6.2 Service Interface</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19266">6.2.1 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19269">6.2.1.1 MEASUREMENT_SERVICE Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19317">7 Definition Package</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19318">7.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19332">7.2 Class Definitions</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19335">7.2.1 OPENEHR_DEFINITIONS Class</A>
+</LI>
+<LI>
+<A href="#LinkTarget_19354">7.2.2 BASIC_DEFINITIONS Class</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_19403">A References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_19406">A.1 General</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<IMG width=144 height=127 style="display:block; float:none" src="images/support_im_img_0.png">
+<IMG width=381 height=232 style="display:block; float:none; text-align:center; margin-bottom:24px" src="images/support_im_img_1.png">
+<TABLE>
+<TR>
+<TH colspan=3 style="width:401px; height:30px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Editors: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>a</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, {D Kalra, D Lloyd}</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
+>b </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_15442">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Revision: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</TD>
+<TD style="text-align:center; width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pages: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>67 </SPAN
+></A>
+</TD>
+<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
+<A href="#LinkTarget_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Date of issue: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>08 Apr 2007 </SPAN
+></A>
+</TD>
+</TR>
+</TABLE>
+<dl>
+<DT>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>a.</SPAN
+></DT>
+<DD>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Ocean Informatics </SPAN
+></DD>
+
+<DT style="margin-bottom:32px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>b.</SPAN
+></DT>
+<DD style="margin-bottom:32px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> Centre for Health Informatics and Multi-professional Education, University College London </SPAN
+></DD>
+
+</dl>
+<P style="text-align:justify; margin-bottom:40px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Keywords: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, openehr, reference model </SPAN
+></P>
+<TABLE style="margin-bottom:88px">
+<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:#ADADAD"
+>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:#ADADAD"
+>EHR </SPAN
+></TH>
+<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Demographic </SPAN
+></TD>
+<TD style="width:80px; height:23px; background-color:#00FFFF">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Integration </SPAN
+></TD>
+<TD colspan=3 style="text-align:center; width:198px; height:23px; background-color:#96FF52; 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:normal; color:#ADADAD"
+>Template OM </SPAN
+></TD>
+</TR>
+<TR>
+<TH colspan=4 style="text-align:center; vertical-align:middle; width:245px; 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:#ADADAD"
+>Composition </SPAN
+></TH>
+<TD colspan=3 style="width:198px; height:23px; background-color:#C9FF5C; 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:normal; color:#ADADAD"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>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:#ADADAD"
+>Security </SPAN
+></TH>
+<TD colspan=2 rowspan=2 style="width:120px; height:23px; background-color:#B3FBE6">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
+>Common </SPAN
+></TD>
+<TD rowspan=2 style="width:151px; height:23px; background-color:#C9FF5C; 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:#ADADAD"
+>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="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:#ADADAD"
+>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:#D6FBF9; 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:#ADADAD"
+>Data Structures </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; 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:#ADADAD"
+>Data Types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=7 style="text-align:center; width:449px; height:24px; background-color:#D6FBF9; 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; color:#0000D4"
+>Support </SPAN
+></TH>
+</TR>
+</TABLE>
+<DIV class="Part"
+><H5>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>© 2003-2007 The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
+>EHR Foundation. </SPAN
+></H5>
+<P style="margin-bottom:22px; line-height:15px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:top; width:391px; height:14px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Chairman </SPAN
+></TH>
+<TD style="vertical-align:top; width:391px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Founding </SPAN
+></TH>
+<TD style="width:391px; height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; color:#0000FF"
+>Members </SPAN
+></TH>
+<TD style="vertical-align:top; width:391px; height:18px"/>
+</TR>
+<TR>
+<TH style="width:63px; height:21px"/>
+<TD style="vertical-align:bottom; width:391px; height:21px">
+<A href="http://www.openEHR.org">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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_15312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<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_15318">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_15382">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>© Copyright openEHR Foundation 2001 - 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>All Rights Reserve</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+></P>
+<ol style="list-style-type:decimal">
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>You may read and print the document for private, non-commercial use. </SPAN
+></LI>
+<LI style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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 style="list-style-type:decimal; text-align:left; margin-bottom:0px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="list-style-type:decimal; text-align:left; margin-bottom:500px; margin-left:144px; text-indent:-47px; line-height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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: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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 2 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15376">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_15312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:0px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15318">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_15429" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Amendment Record </SPAN
+></P>
+<TABLE style="margin-bottom:64px">
+<CAPTION  style="margin-bottom:64px">
+<P style="margin-bottom:64px; line-height:15px">
+<A href="#LinkTarget_15358">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15376">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:366px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:89px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; 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="text-align:center; vertical-align:top; width:366px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0.1 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; 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:93px; 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; vertical-align:top; width:105px; height:587px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:366px; height:587px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000215</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Merge </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PARTIAL_XX</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> date/time classes and move ISO 8601 semantics to Support IM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000209</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Minor changes to correctly define </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>AUTHORED_RESOURCE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>current_revision</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add minimal definition for </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct Release 1.0 typographical errors. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>INTERVAL</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class definition to correct section. Add two invariants. Improved explanation of identifiers. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000202</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct minor errors in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VER</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>SION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>preceding_version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_first</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> function and invariant to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_TREE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class. Added invariants for 1-based num</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>bering </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000203</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Release 1.0 explanatory text improvements. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000204</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add generic id subtype of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000216</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Allow mixture of W, D etc in ISO8601 Duration (deviation from standard). </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000219</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Use constants instead of literals to refer to terminol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>ogy in RM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000220</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Tighten semantics of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HISTORY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>period</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>EVENT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>time. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000144</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add new Ratio type: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_PROPORTION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add Real.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>floor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000221</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add normal status to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add “normal statuses” code set. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000228</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add minor deviations from ISO 8601 to assumed date/time types. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000229</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Minor date/time corrections. Allow 2-digit time-zones. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000236</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Change use of Character to Octet in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_MULTIMEDIA</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000239</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add common parent type of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000243</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>template_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000246</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Correct </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>EHR terminology rubrics. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:587px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale Y S Lim S Heard G Grieve D Lloyd S Heard, H Frankel Y S Lim A Patterson G Grieve H Frankel S Heard R Chen A Patterson S Heard H Frankel T Beale H Frankel H Frankel G Grieve H Frankel T Beale B Verhees M Forss </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:587px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>08 Apr 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="text-align:center; width:366px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  1.0 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; 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:93px; 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:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.5 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:366px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000162</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Allow party identifiers when no demographic data. Relax invariant on </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTY_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000184</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Separate out terminology from Support IM. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000188</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>generating_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> function to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ANY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> for use in invariants </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000161</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Support distributed versioning. Move </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> to subtypes. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>VERSION_TREE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>LOCATABLE_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> types. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard H Frankel T Beale T Beale T Beale H Frankel </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:139px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>06 Feb 2006 </SPAN
+></TD>
+</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="text-align:center; width:366px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.96 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; 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:93px; 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_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 3 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:15px; margin-left:507px">
+<A href="#LinkTarget_15312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15318">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:59px">
+<CAPTION  style="margin-bottom:59px">
+<P style="margin-bottom:59px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15376">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+</CAPTION>
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="vertical-align:middle; width:365px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:89px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000135</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Minor corrections to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>rm.support.terminology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> package. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000145</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add class for access to external environment. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000137</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: Add definitions class to support.definition package. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd D Lloyd D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:57px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Jun 2005 </SPAN
+></TD>
+</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:365px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E 0.95 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; 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:93px; 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:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000129</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Fix errors in UML &amp; specs of Identification pack</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>age. Adjust invariants &amp; postcondition of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve text to do with assumed abstract types </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>Ordered_numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Lloyd </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2005 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000128</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Update Support assumed types to ISO 11404:2003. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000107</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add support for exclusion and inclusion of Interval limits. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000116</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>PARTICIPATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> vocabulary and invari</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>ant. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000122</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Fix UML in Terminology_access classes in Support model. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000118</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Make package names lower case. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000111</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move Identification Package to Support. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000064</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Re-evaluate </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>COMPOSITION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>is_persistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute. Add “composition category” vocabulary. Re-ordered vocabular</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>ies alphabetically. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale A Goodchild T Beale D Lloyd T Beale DSTC D Kalra </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:203px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>10 Feb 2005 </SPAN
+></TD>
+</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:365px; 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'; font-size:9.9pt; color:#FFFFFF"
+>R E L E A S E  0.9 </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; 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:93px; 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:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.1 </SPAN
+></TD>
+<TD style="width:365px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000047</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Improve handling of codes for structural attributes. Populated Terminology and code_set codes. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Mar 2004 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000091</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct anomalies in use of </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add simple terminology service interface. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000095</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>property</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> attribute from Quantity package. Add simple measurement interface. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.4. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale DSTC, S Heard </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:91px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Mar 2004 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.9 </SPAN
+></TD>
+<TD style="width:365px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000063</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>ATTESTATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> should have a status attribute. </SPAN
+></TD>
+<TD style="text-align:center; width:89px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>D Kalra </SPAN
+></TD>
+<TD style="text-align:center; width:93px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>13 Feb 2004 </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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.8 </SPAN
+></TD>
+<TD style="width:365px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000068</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Correct errors in INTERVAL class. </SPAN
+></TD>
+<TD style="text-align:center; width:89px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:93px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Dec 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000032</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Basic numeric type assumptions need to be stated </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000041</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Visually differentiate primitive types in openEHR documents. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000043</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Move External package to Common RM and rename to Identification (incorporates CR-000036 -Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class, make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class abstract.) </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>DSTC, D Lloyd, T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:107px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>09 Oct 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.6 </SPAN
+></TD>
+<TD style="vertical-align:top; width:365px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000013</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Rename key classes. Based on CEN ENV13606. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000038</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Remove </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>archetype_originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> from multi-axial archetype id. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000039</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Change archetype_id section separator from ':' to '-'. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Sep 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.5 </SPAN
+></TD>
+<TD style="width:365px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000036</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Add </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class, make </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> class abstract. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>16 Aug 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'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.4 </SPAN
+></TD>
+<TD style="width:365px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000022</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Code </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERM_MAPPING</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; width:89px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>G Grieve </SPAN
+></TD>
+<TD style="text-align:center; width:93px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>20 Jun 2003 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 4 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px">
+<A href="#LinkTarget_15312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<P style="text-align:; margin-bottom:26px; margin-left:597px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15318">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:10px">
+<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'; font-size:12pt; color:#000000"
+>Issue </SPAN
+></TH>
+<TH style="vertical-align:middle; width:366px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:89px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Raiser </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:93px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Completed </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.3 </SPAN
+></TD>
+<TD style="vertical-align:top; width:366px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>CR-000007</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. Added forgotten terminologies for Subject_relationships and Provider_functions. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:41px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>11 Apr 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.2 </SPAN
+></TD>
+<TD style="width:366px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Detailed review by Ocean, DSTC, Grahame Grieve. Updated valid characters in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>namespace</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>G Grieve </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:366px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Added specification for BOOLEAN type. Corrected minor error in ISO 639 standard strings -now conformant to </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:7.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+> now optional. Improved document structure. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:75px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>18 Mar 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:105px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0.9 </SPAN
+></TD>
+<TD style="width:366px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>Initial Writing. Taken from Data types and Common Reference Models. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
+>Formally validated using ISE Eiffel 5.2. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:93px; height:43px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Part"
+><H4 style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:631px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The work reported in this paper has been funded in  by a number of organisations, including The Uni</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>versity College, London and Ocean Informatics, Australia. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 5 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15358">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15376">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:487px">
+<A href="#LinkTarget_15312">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </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_15318">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 6 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2007 The openEHR Foundation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></A>
+<A href="#LinkTarget_15376">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></A>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Part"
+><H4 ID="LinkTarget_15625" style="text-align:; margin-bottom:7px; margin-right:138px; margin-left:257px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Table of Contents </SPAN
+></H4>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15939">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 Introduction.............................................................................. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15941">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.1 Purpose...................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15957">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.2 Related Documents ................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15967">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.3 Status......................................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_15979">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.4 Peer review ............................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_15987">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.5 Conformance..........................................................................................</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16016">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>2 Support Package .....................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16019">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16043">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2 Class Definitions..................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_16043">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2.2.1 EXTERNAL_ENVIRONMENT_ACCESS Class ........................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16093">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 Assumed Types ....................................................................... 1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16095">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.1 Overview..............................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16135">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2 Inbuilt Primitive Types ........................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16208">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.1 Any Type........................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16239">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.2 Ordered Type .................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16261">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.3 Numeric Type.................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16309">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.4 Ordered_numeric Type ..................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16327">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.5 Boolean Type .................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16404">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.2.6 Real Type .......................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16425">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3 Assumed Library Types .......................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16488">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.1 String Type.....................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16522">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3.3.1.1 UNICODE ...................................................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16525">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.2 Aggregate Type..............................................................................1</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16563">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.3 List Type ........................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16586">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.4 Set Type .........................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16601">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.5 Array Type .....................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16628">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.6 Hash Type ......................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16652">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.3.7 Interval Type ..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16711">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4 Date/Time Types ..................................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16776">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.1 TIME_DEFINITIONS Class .........................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16913">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.2 ISO8601_DATE Class ...................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_16994">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.3 ISO8601_TIME Class....................................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17118">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.4 ISO8601_DATE_TIME Class .......................................................2</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17254">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.5 ISO8601_TIMEZONE Class.........................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_17306">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3.4.6 ISO8601_DURATION Class.........................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17411">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>4 Identification Package ........................................................... 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17413">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1 Overview..............................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17420">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.1.1 Requirements .................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17533">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2 Design ..................................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17538">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.1 Primitive Identifiers .......................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17560">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.2 Composite Identifiers.....................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17585">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.2.3 References......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17601">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3 Class Descriptions................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17602">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.1 UID Class.......................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17625">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.2 ISO_OID Class ..............................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:26px">
+<A href="#LinkTarget_17646">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.3 UUID Class....................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 7 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="margin-bottom:11px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<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_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17688">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.4 INTERNET_ID Class....................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17707">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.4.1 Syntax .........................................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17722">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.5 OBJECT_ID Class ........................................................................ 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17760">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.6 UID_BASED_ID Class.................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17794">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.6.1 Identifier Syntax ..........................................................................................3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17797">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.7 HIER_OBJECT_ID Class ............................................................. 3</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17832">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.8 OBJECT_VERSION_ID Class ..................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17869">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.8.1 Identifier Syntax ..........................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>0 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17888">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.9 VERSION_TREE_ID Class..........................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17932">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.9.1 Syntax .........................................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_17951">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.10 ARCHETYPE_ID Class................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18015">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.10.1 Archetype ID Syntax ...................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18054">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.11 TEMPLATE_ID Class...................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18094">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.12 TERMINOLOGY_ID Class..........................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18124">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4.3.12.1 Identifier Syntax ..........................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18150">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.13 GENERIC_ID Class......................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18174">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.14 OBJECT_REF Class ..................................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18222">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.15 ACCESS_GROUP_REF Class ..................................................... 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18240">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.16 PARTY_REF Class........................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_18268">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>4.3.17 LOCATABLE_REF Class.............................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18329">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 Terminology Package............................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18330">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.1 Overview ............................................................................................. 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18333">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2 Service Interface..................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18334">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.1 Code Sets.......................................................................................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18344">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.2 Terminologies ................................................................................ 4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18346">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.2.3 Terms and Codes in the openEHR Reference Model....................4</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18391">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.3 Identifiers............................................................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18393">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.3.1 Code Set Identifiers.......................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18396">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.3.2 Terminology Identifiers ................................................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18886">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4 Class Definitions .................................................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18887">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.1 TERMINOLOGY_SERVICE Class.............................................. 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_18972">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.2 TERMINOLOGY_ACCESS Class...............................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19021">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.3 CODE_SET_ACCESS Class ........................................................5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>8 
+</SPAN
+></A>
+</P>
+<DIV class="Sect">
+<H4 style="text-align:center; margin-bottom:0px">
+<A href="#LinkTarget_19052">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.4 OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS Class..58 </SPAN
+></A>
+</H4>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_19153">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>5.4.5 OPENEHR_CODE_SET_IDENTIFIERS Class........................... 5</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>9 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19234">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>6 Measurement Package........................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19235">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.1 Overview ............................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19249">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2 Service Interface..................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19266">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.2.1 Class Definitions ........................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_19269">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>6.2.1.1 MEASUREMENT_SERVICE Class ..........................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
+>1 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19317">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>7 Definition Package ................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19318">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.1 Overview ............................................................................................. 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19332">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2 Class Definitions .................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19335">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.1 OPENEHR_DEFINITIONS Class ................................................ 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:7px">
+<A href="#LinkTarget_19354">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>7.2.2 BASIC_DEFINITIONS Class....................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_19403">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>A References............................................................................... 6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
+>5 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:40px">
+<A href="#LinkTarget_19406">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A.1 General ................................................................................................6</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 8 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </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_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_15939">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_15941">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document describes the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Reference Model, whose semantics are used by all </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Models. The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standards bodies producing health informatics standards; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Software development organisations developing EHR systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Academic groups studying the EHR; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The open source healthcare community. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_15957">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Architecture Overview </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Modelling Guide </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_15967">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This document is available at </SPAN
+><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/support_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specification/TAGS/Release</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/support_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>1.0.1/publishing/architecture/rm/support_im.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:12pt; font-weight:normal; color:#000000"
+>The latest version of this document can be found at </SPAN
+><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/support_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>http://svn.openehr.org/specifica</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+></SPAN
+></A>
+<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/support_im.pdf">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>tion/TRUNK/publishing/architecture/rm/support_im.pdf</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Blue text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> indicates sections under active development. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_15979">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
+>To Be Continued: more work required </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tent. Please send requests for information to </SPAN
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>info@openEHR.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Feedback should preferably be </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provided on the mailing list </SPAN
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or by private email. </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_15987">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>1.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Conformance </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:87px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Conformance of a data or software artifact to an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model specification is deter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mined by a formal test of that artifact against the relevant </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 9 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Introduction </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 10 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16016">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Support Package </SPAN
+></H2>
+<DIV class="Sect">
+<DIV class="Sect">
+<H3 ID="LinkTarget_16019">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+</DIV>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Support Reference Model comprises types used throughout the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models, including assumed primitive types defined outside of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. The package structure is illustrated in </SPAN
+><A href="#LinkTarget_16040">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<A href="#LinkTarget_16040">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1.</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>assumed_types</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> ‘pseudo-package’ stands for types assumed by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specifcations to exist in an implementation technology, such as a programming language, schema language or data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>base environment. The four Support packages define the semantics respectively for constants, termi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>nology access, access to externally defined scientific units and conversion information. The class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ENVIRONMENT_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is a mixin class providing access to the service interface classes. </SPAN
+></P>
+<DIV class="Sect">
+<P style="text-align:justify; margin-bottom:46px; margin-left:51px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>support </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>definition </SPAN
+></H4>
+</DIV>
+<P style="text-align:; margin-bottom:51px; margin-left:390px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>identification </SPAN
+></P>
+<DIV class="Sect">
+<IMG width=251 height=173 style="display:block; float:none; text-align:center; margin-bottom:77px" src="images/support_im_img_2.png">
+</DIV>
+<TABLE style="text-align:left; margin-bottom:21px">
+<TR>
+<TH colspan=3 style="width:517px; height:32px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#157BFF"
+>assumed_types </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="vertical-align:middle; width:212px; height:49px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 1 </SPAN
+></TH>
+<TD style="width:305px; height:49px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> rm.support and assumed_types Packages </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_16043" style="vertical-align:bottom; width:57px; height:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>2.2.1 </SPAN
+></TH>
+<TD colspan=2 style="vertical-align:bottom; width:460px; height:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Definitions </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EXTERNAL_ENVIRONMENT_ACCESS Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:46px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EXTERNAL_ENVIRONMENT_ACCESS (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A mixin class providing access to services in the external environment. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>eea_terminology_svc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_SERVICE </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return an interface to the terminology serv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ice </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>eea_measurement_svc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>MEASUREMENT_SERVICE </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return an interface to the measurement serv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ice </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 11 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<IMG width=652 height=87 style="display:block; float:none; text-align:center; margin-bottom:30px" src="images/support_im_img_3.png">
+<P style="text-align:left; margin-bottom:862px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Terminology_service_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: eea_terminology_svc /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Measurement_service_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: eea_measurement_svc /= Void </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 12 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_16093">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Assumed Types </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16095">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This section describes types assumed by all </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. The set of types chosen here is based on a common set from various published sources, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO 11404 (2003 revision) general purpose data types; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO 8601 (2004) date/time specification; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Well-known interoperability formalisms, including OMG IDL, W3C XML-schema; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Well-known object-oriented programming languages, including Java, C#, C++ and Eiffel. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The intention in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is twofold. Firstly, to ensure that </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR software based on the models integrates as easily as possible with existing implementation technologies, and secondly, to make the minimum possible assumptions about types found in implementation formalisms, while making suffi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cient assumptions to both enable </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models to be conveniently specified. The ISO 11404 (2003) standard contains basic semantics of “general purpose data types” (GPDs) for information technology, and is used here as a normative basis for describing assumptions about types. The opera</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tions and properties described here are compatible with those used in ISO 11404, but not always the same, as 11404 does not use object-oriented functions. For example, the notional function </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>has(x:T) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(test for presence of a value in a set) defined on the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> below is not defined on the ISO 11404 Set type; instead, the function </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IsIn(x: T; s: Set&lt;T&gt;)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is defined. However, in object-ori</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ented formalisms, the function </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>IsIn</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> defined on a Set type would usually mean ‘subset of’. In the interests of clarity for developers, an object-oriented style of functions and properties has been used here. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601:2004 is used as the definitional basis for assumed date/time types, since it is commonly used </SPAN
+><A href="#LinkTarget_16711">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>around the world, and is also the basis for the date/time types in W3C XML-schema. See section 3.4 </SPAN
+></A>
+<A href="#LinkTarget_16711">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>on page 22</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> below for details of dates and times. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Two groups of assumed types are identified: primitive types, which are those built in to a formalism’s type system, and library types, which are assumed to be available in a (class) library defined in the formalism. Thus, the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is always assumed to exist in a formalism, while the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is assumed to be available in a library. For practical purposes, these two categories do not matter that much - whether </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is really a library class (the usual case) or an inbuilt type doesn’t make much difference to the programmer. They are shown separately here mainly as an explanatory convenience. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:78px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The assumptions that </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR makes about existing types are documented below in terms of inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>face definitions. Each of these definitions contains </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>only the assumptions required for the given type to be used in the openEHR Reference Model </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>it is not by any means a complete interface definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. The name and semantics of any function used here for an assumed type </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>might not be identical</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to those found in some implementation technologies. Any mapping required should be stated in the rel</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>evant implementation technology specification (ITS). To give a concrete example, where the assumed </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type defined below has an operation </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(item: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> which is used throughout the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specifications, Java has the method </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contains</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>() on its </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class. In a Java implementa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion, the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>contains</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>() method should then be used throughout the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR classes as expressed in Java, in place of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>() method. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 13 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16135">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Inbuilt Primitive Types </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following types consititute the minimum set of primitive types assumed by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR of an implementation formalism. </SPAN
+></P>
+<TABLE style="margin-bottom:5px">
+<TR>
+<TH style="width:97px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Type name in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR </SPAN
+></TH>
+<TH style="vertical-align:middle; width:357px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TH>
+<TH style="width:101px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 11404 Type </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Octet </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents a type whose value is an 8-bit value. </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Octet </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Character </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents a type whose value is a member of an 8-bit character-set (ISO: “repertoire”). </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Character </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents logical True/False values; usually physically represented as an integer, but need not be </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:21px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="vertical-align:top; width:357px; height:21px; border-style:solid; border-color:#000000; border-width:1px"/>
+<TD style="vertical-align:top; width:101px; height:21px; border-style:solid; border-color:#000000; border-width:1px"/>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents 32-bit integers </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents 32-bit real numbers in any interoperable rep</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>resentation, including single-width IEEE floating point </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:97px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type which represents 64-bit real numbers, in any inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>operable representation including double-precision IEEE floating point. </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<A href="#LinkTarget_16193">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 2</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> illustrates the built-in primitive types. Simple inheritance relationships are shown which facilitate the type descriptions below. A class “Any” is used to stand for the usual top-level class in all object-oriented type systems, typically called something like “Any” or “Object”. Inheritance from or subsitutability for an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class is </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> assumed in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR (hence the dotted lines in the UML). It is used here to enable basic operations like ‘=’ to be described once for the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, rather than in every subtype. The type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Ordered_numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is on the other hand assumed for purposes of specifica</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>data_types.quantity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, and is intended to be mapped to an equiva</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lent type in a real type system (e.g. in Java, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>java.lang.Number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). Here it is assumed that the operations defined on </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Ordered_numeric</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>are available on the types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in implementation type systems, where relevant. Data-oriented implementation type systems such as XML-schema do not have such operations. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:265px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878; text-decoration:overline"
+>A</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>n</SPAN
+><SPAN style=" font-weight:normal; text-decoration:overline"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>y </SPAN
+></SPAN
+></P>
+<IMG width=19 height=23 style="display:block; float:none; text-align:center; margin-bottom:17px" src="images/support_im_img_4.png">
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:-18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>Octet </SPAN
+></H4>
+<P style="text-align:; margin-bottom:0px; margin-right:206px; margin-left:45px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>Character </SPAN
+></P>
+<P style="text-align:; margin-bottom:26px; margin-right:142px; margin-left:118px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>Boolean </SPAN
+></P>
+<P style="text-align:; margin-bottom:26px; margin-right:78px; margin-left:186px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>Ordere</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>d </SPAN
+></P>
+<P style="text-align:; margin-bottom:15px; margin-left:263px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>Numeri</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>c </SPAN
+></P>
+<IMG width=93 height=11 style="display:block; float:none; text-align:center; margin-bottom:14px" src="images/support_im_img_5.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>Ordered_numeri</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>c </SPAN
+></P>
+<IMG width=183 height=56 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/support_im_img_6.png">
+<P style="margin-bottom:113px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> Primitive Types Assumed by </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+></P>
+<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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 14 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16208" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Any Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Any (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract supertype. Usually maps to a type like “Any” or “Object” in an object system. Defined here to provide the value and reference equality semantics. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:293px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:246px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:293px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_equal </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:246px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Value equality </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:293px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:246px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:293px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘=’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Any</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:246px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference equality </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:293px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>instance_of</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_type: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) </SPAN
+></TD>
+<TD style="width:246px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dynamic type of object as a String. Used for type name matching. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16239" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Ordered Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Ordered (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract notional parent class of ordered, types i.e. types on which the ‘&lt;‘ opera</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tor is defined. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:123px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arithmetic comparison. In conjunc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion with ‘=’, enables the definition of the operators ‘&gt;’, ‘&gt;=’, ‘&lt;=’, ‘&lt;&gt;’. In real type systems, this operator might be defined on another class for compa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rability. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16261" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Numeric Type </SPAN
+></P>
+<TABLE style="margin-bottom:96px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Numeric (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract notional parent class of numeric types, which are types which have vari</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ous arithmetic and comparison operators defined. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Abstract </SPAN
+></TD>
+<TD style="text-align:center; width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 15 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Numeric (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:114px; height:121px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix &quot;*&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>result_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result /= void </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Product by `other'. Actual type of result depends on arithmetic balancing rules. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:114px; height:160px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:160px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix &quot;+&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>result_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commutative</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: equal (Result, other + Current) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:160px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Sum with `other' (commutative). Actual type of result depends on arith</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>metic balancing rules. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:114px; height:123px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix &quot;-&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>result_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result /= void </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result of subtracting `other'. Actual type of result depends on arithmetic balancing rules. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TH>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16309" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Ordered_numeric Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Ordered_numeric (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract notional parent class of ordered, numeric types, which are types with ‘&lt;‘ and arithmetic operators defined. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED, NUMERIC </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16327" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Boolean Type </SPAN
+></P>
+<TABLE style="margin-bottom:66px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:365px; height:31px; background-color:#FFEBB3; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Boolean </SPAN
+></TH>
+<TH style="text-align:center; width:174px; height:31px; background-color:#FFEBB3; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:365px; height:33px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean type used for two-valued mathematical logic. </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:174px; height:33px; 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:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:35px; background-color:#FFEBB3; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:174px; height:35px; background-color:#FFEBB3; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 16 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:123px">
+<CAPTION  style="margin-bottom:123px">
+<P style="margin-bottom:123px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Boolean </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:174px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:174px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>de_morgan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commutative</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = (other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:174px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Logical conjunction </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:141px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>de_morgan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean semi-strict conjunction with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:198px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:198px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>de_morgan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>commutative</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = (other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rent) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>consistent_with_semi_strict</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:198px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean disjunction with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:141px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>de_morgan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean semi-strict disjunction with `other' </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:123px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = ((Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> other)) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean exclusive or with `other' </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 17 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Boolean </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:140px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> &quot;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>&quot; (other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: other /= void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Result = (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other) </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Boolean implication of `other' (semi-strict) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:64px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>involutive_negation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_equal (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>non_contradiction</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>completeness</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Current </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or else</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16404" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.2.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Real Type </SPAN
+></P>
+<TABLE style="margin-bottom:18px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Real </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type used to represent decimal numbers. Typically corresponds to a single-preci</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sion floating point value in most languages. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>floor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the greatest integer no greater than the value of this object. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16425">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Assumed Library Types </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The types described in this section are also assumed to be fairly standard in implementation technolo</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>gies by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, but usually come from type libraries rather than being built into the type system of implementation formalisms. </SPAN
+></P>
+<TABLE style="margin-bottom:62px">
+<TR>
+<TH style="width:161px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Type name in </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>EHR </SPAN
+></TH>
+<TH style="vertical-align:middle; width:357px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TH>
+<TH style="width:101px; height:44px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO 11404: 2003 Type </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:53px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:53px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>represents unicode-enabled strings </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:53px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Character-String/Sequence </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;T&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>physical container of items indexed by number </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>container of items, implied order, non-unique member</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ship </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Sequence </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>container of items, no order, unique membership </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash&lt;T,U:Comparable&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>a table of values of any type T, keyed by values of any basic comparable type U, typically String or Integer, but may be more complex types, e.g. a coded term type. </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Table </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:161px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Interval&lt;T&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:357px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Intervals with open or closed upper and lower bounds. </SPAN
+></TD>
+<TD style="vertical-align:top; width:101px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>-</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 18 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<A href="#LinkTarget_16487">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 3 illustrates the assumed library types. As with the assumed primitive types, inheritance and </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>abstract classes are used for convenience of the definitions below, but are not formally assumed in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:262px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878; text-decoration:overline"
+>A</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>n</SPAN
+><SPAN style=" font-weight:normal; text-decoration:overline"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>y </SPAN
+></SPAN
+></P>
+<IMG width=20 height=11 style="display:block; float:none; margin-bottom:19px" src="images/support_im_img_7.png">
+<P style="margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>T </SPAN
+></P>
+<P style="text-align:; margin-bottom:22px; margin-left:242px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>T-&gt;Ordered </SPAN
+></P>
+<P style="text-align:; margin-bottom:22px; margin-right:173px; margin-left:76px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>Aggregate</SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:22px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>String </SPAN
+></H4>
+<P style="text-align:; margin-bottom:7px; margin-right:78px; margin-left:186px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>Interval </SPAN
+></P>
+<IMG width=19 height=11 style="display:block; float:none; margin-bottom:13px" src="images/support_im_img_8.png">
+<IMG width=369 height=40 style="display:block; float:none; text-align:right; margin-bottom:16px" src="images/support_im_img_9.png">
+<P style="text-align:; margin-bottom:22px; margin-left:153px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> Library Types Assumed by </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>EHR </SPAN
+></P>
+<P ID="LinkTarget_16488" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>String Type </SPAN
+></P>
+<TABLE style="margin-bottom:13px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>String </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Strings of characters, as used to represent textual data in any natural or formal lan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>guage. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:270px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:269px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:270px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘+’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:269px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Concatenation operator - causes ‘other’ to be appended to this string </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:270px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_empty</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:269px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if string is empty, i.e. equal to “”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:270px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:269px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if string can be parsed as an inte</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ger. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:270px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:269px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the integer corresponding to the integer value represented in this string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+</DIV>
+<DIV class="Sect">
+<H4 ID="LinkTarget_16522" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>3.3.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UNICODE </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It is assumed in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR specifications that Unicode is supported by the type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Unicode is needed for all Asian, Arabic and other script languages, for both data values (particularly plain text and coded text) and for many predefined string attributes of the classes in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model. It encompasses all existing character sets. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, UTF-8 encoding is assumed. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16525" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Aggregate Type </SPAN
+></H3>
+<IMG width=652 height=84 style="display:block; float:none; text-align:center; margin-bottom:19px" src="images/support_im_img_10.png">
+<P style="text-align:justify; margin-bottom:40px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract parent of of the aggregate types </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Array&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash&lt;T,K&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 19 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Aggregate &lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:276px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(v: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Test for membership of a value </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>count</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Number of items in container </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_empty</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if container is empty. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16563" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>List Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>List &lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ordered container that may contain duplicates. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:229px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:308px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:229px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>first</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T </SPAN
+></TD>
+<TD style="vertical-align:top; width:308px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return first element. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:229px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>last</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T </SPAN
+></TD>
+<TD style="vertical-align:top; width:308px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return last element. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:536px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>First_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> first /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Last_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> last /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16586" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Set Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Set &lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unordered container that may not contain duplicates. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="text-align:center; width:229px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:308px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16601" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Array Type </SPAN
+></P>
+<TABLE style="margin-bottom:68px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="text-align:center; vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Array &lt;T&gt; (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Container whose storage is assumed to be contiguous. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="text-align:center; width:229px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:308px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="text-align:center; vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 20 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_16628" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Hash Type </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Hash &lt;T, U: Comparable&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Type representing a keyed table of values. T is the value type, and U the type of the keys. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:293px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:246px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:293px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_key </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>U</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:246px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Test for membership of a key </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:293px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>item </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(a_key: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>U</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T </SPAN
+></TD>
+<TD style="width:246px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return item for key ‘a_key’. Equiv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>alent to ISO 11404 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fetch</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> operation. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16652" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Interval Type </SPAN
+></P>
+<TABLE style="margin-bottom:116px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Interval &lt;T:Ordered&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Interval of ordered items. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lower</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower bound </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>upper</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>upper bound </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lower_unbounded</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower boundary open (i.e. = -infinity) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>upper_unbounded</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>upper boundary open (i.e. = +infinity) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>lower_included</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower boundary value included in range if not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower_unbounded </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>upper_included</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:262px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>upper boundary value included in range if not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>upper_unbounded </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:276px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:262px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:123px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:276px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>e:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:262px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if (lower_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>((lower_included </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> v &gt;= lower) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>v &gt; lower)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>((upper_included </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> v &lt;= upper </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> v &lt; upper))) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 21 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<IMG width=652 height=161 style="display:block; float:none; text-align:center; margin-bottom:23px" src="images/support_im_img_11.png">
+<P style="text-align:left; margin-bottom:26px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Lower_included_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: lower_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> lower_included </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Upper_included_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> upper_included </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Limits_consistent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> lower_unbounded) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower &lt;= upper </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Limits_comparable</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> upper_unbounded </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> lower_unbounded) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lower.strictly_comparable_to(upper) </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_16711">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Date/Time Types </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Although the ISO 11404 (2003) standard defines a date-and-time type generator (section 8.1.6), and a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>timeinterval</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type (section 10.1.6), a more widely used specification of date/times is given by ISO 8601:2004, which is used as the normative basis for both string literal representation and properties used within </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. The types are shown in </SPAN
+><A href="#LinkTarget_16718">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 4. </SPAN
+></A>
+</P>
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878; text-decoration:overline"
+>A</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>n</SPAN
+><SPAN style=" font-weight:normal; text-decoration:overline"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#527878"
+>y </SPAN
+></SPAN
+></P>
+<IMG width=513 height=189 style="display:block; float:none; text-align:center; margin-bottom:23px" src="images/support_im_img_12.png">
+<P style="margin-bottom:-18px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>Ordere</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#0000FF"
+>d </SPAN
+></P>
+<P style="margin-bottom:162px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>TIME_DEFINITION</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>S 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO 8601 semantics not used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“expanded” dates, which have year numbers of greater than 4 digits, and may be negative; in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, only 4-digit year numbers are assumed; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the YYYY-WW-DD method of expressing dates (since this is imprecise and difficult to compute with due to variable week starting dates, and not required in health); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>partial date/times with fractional minutes or hours, e.g. hh,hhh or mm,mm; in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, only fractional seconds are supported; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the interval syntax. Intervals of date/times are supported in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, but their syntax form is defined by ADL, and is standardised across all comparable types, not just dates and times. </SPAN
+></LI>
+</ul>
+<DIV class="Sect">
+<H4 style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#0000FF"
+>Deviations from the published standard</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+> include the following: </SPAN
+></H4>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>durations are supposed to take the form of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>PnnW</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>PnnYnnMnnDTnnHnnMnnS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>, but in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>EHR, the W (week) designator can be used in combination with the other designators, since it is very common to state durations of pregnancy as some combination of weeks and days. </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:55px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>partial variants of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>ISO8601_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+> can include missing hours, days and months, whereas ISO 8601:2004 (section 4.3.3 c) only allows missing seconds and minutes. The rea</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>sons for this deviation are: </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:288px; text-indent:-287px; 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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 22 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>the same deviation is used in HL7v2 and HL7v3 TS (timestamp) type, i.e. there are data in existing clinical systems matching this specification; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>in a typed object model, this deviation is more sensible anyway; the ISO 8601 rule is most likely a limitation of the purely syntactic means of expression. In real systems where a timestamp/date-time is specified in a screen form, it makes sense to allow it to be as partial as possible, rather than artifically restricted to only missing seconds and minutes. </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'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>the time 24:00:00 (or 240000) is not allowed anywhere, whereas in ISO8601:2004 it appears to be legal at least for times. This deviation is also appears to be used in HL7v2 and HL7v3 (where midnight is defined as the time 00:00:00), and is preferable to the docu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>mented standard, since a date/time with time of 24:00:00 is really the next day, i.e. the date part is then incorrect. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following class definitions provide an object-oriented expression of the semantics of the subset of ISO 8601:2004 used by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>See </SPAN
+><A href="http://www.cl.cam.ac.uk/~mgk25/iso-time.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.cl.cam.ac.uk/~mgk25/iso-time.html</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and the official ISO standard for ISO 8601 details. Note that in the date, time and date_time formats shown below, ‘Z’ and ‘T’ are literals. In the duration class shown below, ‘P’, ‘Y’, ‘M’, ‘W’, ‘D’, ‘H’, ‘S’ and ‘T’ are literals. </SPAN
+></P>
+<P ID="LinkTarget_16776" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TIME_DEFINITIONS Class </SPAN
+></P>
+<TABLE style="margin-bottom:66px">
+<CAPTION  style="margin-bottom:66px">
+<P style="margin-bottom:66px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Definitions for date/time classes. Note that the timezone limits are set by where the international dateline is. Thus, time in New Zealand is quoted using +12:00, not -12:00. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Constants </SPAN
+></TD>
+<TD style="width:243px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:297px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Seconds_in_minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 60 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:48px; 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:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Minutes_in_hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 60 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; 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:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Hours_in_day</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 24 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Nominal_days_in_month</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 30.42 </SPAN
+></TD>
+<TD style="width:297px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for conversions of durations contain</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing months to days and / or seconds. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Max_days_in_month</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 31 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for validity checking. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Days_in_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 365 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Days_in_leap_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 366 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="width:243px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Max_days_in_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = Days_in_leap_year </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for validity checking. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 23 of 6</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:96px">
+<CAPTION  style="margin-bottom:96px">
+<P style="margin-bottom:96px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Nominal_days_in_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Real</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 365.24 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Used for conversions of durations contain</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing years to days and / or seconds. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Days_in_week</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; 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:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Months_in_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = 12 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Min_timezone_hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = 12 </SPAN
+></TD>
+<TD style="width:297px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Minimum hour value of a timezone (note that the -ve sign is supplied in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_TIMEZONE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:243px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Max_timezone_hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = 13 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Maximum hour value of a timezone. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:243px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:297px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:86px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (y: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = y &gt;= 0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if y &gt;= 0 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_month </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(m: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = m &gt;= 1 and m &lt;= Months_in_year </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if m &gt;= 1 and m &lt;= Months_in_year </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_day</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (y, m, d: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = d &gt;= 1 and d &lt;= days_in_month(m, y) </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if d &gt;= 1 and d &lt;= days_in_month(m, y) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:123px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (h, m, s: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = (h &gt;= 0 and h &lt; Hours_in_day) or (h = Hours_in_day and m = 0 and s = 0) </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if (h &gt;= 0 and h &lt; Hours_in_day) or (h = Hours_in_day and m = 0 and s = 0) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (m: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = m &gt;= 0 and m &lt; Minutes_in_hour </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if m &gt;= 0 and m &lt; Minutes_in_hour </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 24 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:102px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (s: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = s &gt;= 0 and s &lt; Seconds_in_minute </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if s &gt;= 0 and s &lt; Seconds_in_minute </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:85px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:243px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (fs: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Dou</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ble</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result = fs &gt;= 0.0 and fs &lt; 1.0 </SPAN
+></TD>
+<TD style="vertical-align:top; width:297px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if fs &gt;= 0.0 and fs &lt; 1.0 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:32px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16913" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO8601_DATE Class </SPAN
+></P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DATE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time, as measured on the Gregorian calendar, and specified only to the day. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:301px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 string for date, in format </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>YYYYMMDD</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>YYYY-MM-DD</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or a partial invariant. See </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_iso8601_date</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for validity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Year. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>month</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> month_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Month in year. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>day</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> day_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Day in month. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>month_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:301px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether month in year is unknown. If so, the date is of the form “YYYY”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>day_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether day in month is unknown. If so, and month is known, the date is of the form “YYYY-MM” or “YYYYMM”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_partial</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:301px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this date is partial, i.e. if day or more is missing. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 25 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DATE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_extended</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this date uses ‘-’ separators. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:301px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arithmetic comparison with other date. True if this date is closer to the origin than </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:21px; background-color:#FFEBB3; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:21px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_iso8601_date </SPAN
+></TD>
+<TD style="width:301px; height:21px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>String is a valid ISO 8601 date, i.e. takes the </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:368px; background-color:#FFEBB3; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:368px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>s: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:301px; height:368px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>complete form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYYMMDD </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY-MM-DD </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or one of the partial forms: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYYMM </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the equivalent extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY-MM </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY is the string form of any positive number in the range “0000” - “9999” (zero-filled to four digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>MM is “01” “12” (zero-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>DD is “01” - “31” (zero-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The combinations of YYYY, MM, DD num</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>bers must be correct with respect to the Gre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>gorian calendar. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:83px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Year_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_year(year) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Month_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> month_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_month(month) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Day_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> day_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_day(year, month, day) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: month_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> day_unknown </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_16994" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO8601_TIME Class </SPAN
+></P>
+<TABLE style="margin-bottom:96px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:92px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:92px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time from an origin usually interpreted as mean</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing the start of the current day, specified to the second. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>A small deviation to the ISO 8601:2004 standard in this class is that the time 24:00:00 is not allowed, for consistency with </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
+>ISO8601_DATE_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:218px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:320px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 26 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:174px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH style="width:207px; height:31px; background-color:#FFEBB3; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH colspan=2 style="vertical-align:middle; width:331px; height:31px; background-color:#FFEBB3; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:84px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:84px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:84px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 string for time, i.e. in form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hhmmss</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[,</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>sss</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Z</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>|</SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hh[mm]</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>] or the extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hh</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>mm</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ss</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>,sss</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Z</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>|</SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hh[mm]</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>], or a partial invariant. See </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_iso8601_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> for validity. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:35px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:35px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Hour in day, in 24-hour time. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Minute in hour. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Second in minute. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Fractional seconds. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:207px; height:48px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:48px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:320px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> part is signficant (i.e. even if = 0.0). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="vertical-align:top; width:207px; height:96px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>timezone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_TIMEZONE </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD rowspan=2 style="vertical-align:top; width:11px; height:96px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="vertical-align:top; width:320px; height:96px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Time zone; may be Void. Indicates whether minute is unknown. If so, the time is of the form “hh”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>second_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether second is unknown. If so and month is known, the time is of the form “hh:mm” or “hhmm”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:48px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_partial</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:48px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:320px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this time is partial, i.e. if seconds or more is missing. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:35px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_extended</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:35px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:320px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this time uses ‘:’ separators. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:207px; height:48px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_decimal_sign_comma</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:48px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:320px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this time has a decimal part indicated by ‘,’ (comma) rather than ‘.’ (period). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:207px; height:67px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:11px; height:67px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:320px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arithmetic comparison with other time. True if this date is closer to previous midnight than </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 27 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:537px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:20px; background-color:#FFEBB3; border-style: border-style:solid solid none solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="width:218px; height:20px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_iso8601_time </SPAN
+></TD>
+<TD style="width:320px; height:20px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>String is a valid ISO 8601 date, i.e. takes the </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:405px; background-color:#FFEBB3; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:218px; height:405px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(s: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:320px; height:405px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hhmmss[,sss][Z | </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh[mm]] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh:mm:ss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>,sss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z | ±hh[mm]</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or one of the partial forms: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hhmm</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh:mm </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>with an additional optional timezone indicator of: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh[mm] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh is “00” - “23” (0-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>mm is “00” - “59” (0-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>ss is “00” - “60” (0-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>sss is any numeric string, representing an optional fractional second </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z is a literal meaning UTC (modern replacement for GMT), i.e. timezone +0000 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh[mm], i.e. +hhmm, +hh, -hhmm, -hh indicating the timezone. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:120px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:537px; height:120px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Hour_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_hour(hour, minute, second) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Minute_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_minute(minute) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Second_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_second(second) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Fractional_second_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: has_fractional_second </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies (not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>second_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_fractional_second(fractional_second)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: minute_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17118" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO8601_DATE_TIME Class </SPAN
+></P>
+<TABLE style="margin-bottom:55px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DATE_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:141px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:141px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents an absolute point in time, specified to the second. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>Note that this class includes 2 deviations from ISO 8601:2004: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>for partial date/times, any part of the date/time up to the month may be missing, not just seconds and minutes as in the standard; </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>the time 24:00:00 is not allowed, since it would mean the date was really on the next day. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:303px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 28 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DATE_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:121px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_iso8601_date_time(Result) </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 string for date/time, in format </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>YYYYMMDDThhmmss[,sss][Z | ±hh[mm]]</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or in extended format </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>YYYY-MM-DDThh:mm:ss[,sss][Z | ±hh[mm]]</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or a partial variant; see </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_iso8601_date_time</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>() below. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>year </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>month</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> month_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>month in year </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>day</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> day_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>day in month </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>hour in day </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>minute in hour </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>second in minute </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_fractional_second </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fractional seconds </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:303px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> part is signfi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cant (i.e. even if = 0.0). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>timezone</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO8601_TIMEZONE </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Timezone; may be Void. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>month_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether month in year is unknown. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>day_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether day in month is unknown. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hour_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether hour in day is known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether minute in hour is known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>second_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether minute in hour is known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_partial</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:303px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this date is partial, i.e. if seconds or more is missing. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 29 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:534px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DATE_TIME </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_decimal_sign_comma</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this time has a decimal part indicated by ‘,’ (comma) rather than ‘.’ (period). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:303px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arithmetic comparison with other date/time. True if this date/time is closer to origin than </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_extended</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this date/time uses ‘-’, ‘:’ separators. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:22px; background-color:#FFEBB3; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:232px; height:22px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_iso8601_date_time </SPAN
+></TD>
+<TD style="width:303px; height:22px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>String is a valid ISO 8601 date-time, i.e. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:274px; background-color:#FFEBB3; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:274px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(s</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:303px; height:274px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>takes the form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYYMMDDThhmmss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>,sss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>] [</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z | </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh[mm</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>]] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the extended form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY-MM-DDThh:mm:ss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>,sss</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>] [</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z | </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh[mm</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>]] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or one of the partial forms: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYYMMDDThhmm </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYYMMDDThh </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>or the equivalent extended forms: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY-MM-DDThh:mm </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>YYYY-MM-DDThh </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(meanings as in </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_DATE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_TIME</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) and the values in each field are valid. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:288px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:534px; height:288px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Year_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_year(year) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Month_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_month(month) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Day_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_day(year, month, day) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Hour_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: valid_hour(hour, minute, second) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Minute_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_minute(minute) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Second_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_second(second) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Fractional_second_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: has_fractional_second </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies (not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>second_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_fractional_second(fractional_second)) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity_year</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> month_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity_month</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> month_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity_day</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> day_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity_hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Partial_validity_minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: minute_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> second_unknown </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17254" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO8601_TIMEZONE Class </SPAN
+></P>
+<IMG width=649 height=72 style="display:block; float:none; text-align:center; margin-bottom:46px" src="images/support_im_img_13.png">
+<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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 30 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_TIMEZONE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:142px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:142px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:142px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 timezone string, in format </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Z | </SPAN
+><SPAN style="font-size:9.9pt; font-weight:normal; color:#000000"
+>±</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hh[mm] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>where: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>hh is “00” - “23” (0-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>mm is “00” - “59” (0-filled to two digits) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>Z is a literal meaning UTC (modern replacement for GMT), i.e. timezone +0000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hour</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Hour part of timezone - in the range 00 - 13 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Minute part of timezone. Generally 00 or 30. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>sign</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Direction of timezone expresssed as +1 or -1. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_gmt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if timezone is UTC, i.e. +0000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minute_unknown</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Indicates whether minute part known. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:83px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:83px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Min_hour_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: sign = -1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour &gt; 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour &lt;= Min_timezone_hour </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Max_hour_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: sign = 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour &gt; 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> hour &lt;= Max_timezone_hour </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Minute_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> minute_unknown </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> valid_minute(minute) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Sign_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: sign = 1 or sign = -1 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17306" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>3.4.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO8601_DURATION Class </SPAN
+></P>
+<TABLE style="margin-bottom:46px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DURATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Represents a period of time corresponding to a difference between two time-points. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORDERED</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TIME_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Function </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO8601 string for duration, in format </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>P</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnY</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnM</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnW</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnD</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>T</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>[</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnH</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnM</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>][</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>nnS</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; font-weight:normal; color:#000000"
+>]] </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>years</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of years of nominal 365-day length </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>months</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of months of nominal 30 day length </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>weeks</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of 7 day weeks </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 31 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Assumed Types </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:201px">
+<TR>
+<TH style="vertical-align:middle; width:114px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERFACE </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:536px; height:31px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO8601_DURATION </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:33px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>days</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of 24 hour days </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hours</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of 60 minute hours </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minutes</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of 60 second minutes </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>seconds</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Integer </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>number of seconds </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:35px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>fractional_second</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fractional seconds </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>infix ‘&lt;’ </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(other: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>like</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> Current): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Arithmetic comparison with other duration. True if this duration is smaller than </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>other</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:222px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:222px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_iso8601_duration </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(s</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:222px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>String is a valid ISO 8601 duration, i.e. takes the form: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9.9pt; color:#000000"
+>P[nnY][nnM][nnW][nnD][T[nnH][nnM][nnS]] </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Where each nn represents a number of years, months, etc. nnW represents a number of 7</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>day weeks. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#0000FF"
+>Note</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>: allowing the W designator in the same expression as other designators is an excep</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>tion to the published standard, but necessary in clinical information (typically for repre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#0000FF"
+>senting pregnancy duration). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_decimal_sign_comma</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this time has a decimal part indicated by ‘,’ (comma) rather than ‘.’ (period). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:48px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>to_seconds</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Double </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Total number of seconds equivalent (includ</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing fractional) of entire duration. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:158px; background-color:#FFEBB3; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:536px; height:158px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>years_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: years &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>months_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: months &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>weeks_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: weeks &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>days_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: days &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>hours_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: hours &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>minutes_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: minutes &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>seconds_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: seconds &gt;= 0 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>fractional_second_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: fractional_second &gt;= 0.0 and fractional_second &lt; 1.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 32 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_17411">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Identification Package </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17413">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.support.identification</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package describes a model of references and identifiers for information entities and is illustrated in </SPAN
+><A href="#LinkTarget_17418">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 5</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:26px; margin-left:22px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>identification </SPAN
+></P>
+<IMG width=596 height=413 style="display:block; float:none; text-align:center; margin-bottom:36px" src="images/support_im_img_14.png">
+<P style="margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+> rm.support.identification Package </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17420" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.1.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identification of entities both in the real world and in information systems is a non-trivial problem. The needs for identification across systems in a health information environment include the follow</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>real world identifiers such as social security numbers, veterans affairs ids etc can be recorded as required by health care facilities, enterprise policies, or legislation; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>identifiers for informational entities which represent real world entities or processes should be unique; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it should be possible to determine if two identifiers refer to information entities that repre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sent the same real world entity, even if instances of the information entities are maintained in different systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:26px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>versions or changes to real-world entity-linked informational entities (which may create new information instances) should be accounted for in two ways: </SPAN
+></LI>
+</ul>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 33 of 6</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it should be possible to tell if two identifiers refer to distinct versions of the same </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>informational entity in the same version tree; </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it should not be possible to confuse same-named versions of informational entities </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>maintained in multiple systems which purport to represent the same real world </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>entity. E.g. there is no guarantee that two systems’ “latest” version of the Person </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:120px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“Dr Jones” is the same. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medico-legal use of information relies on previous states of information being </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>distinguishable from other previous states and the current state. </SPAN
+></P>
+<P style="text-align:; margin-bottom:0px; margin-right:123px; margin-left:102px; text-indent:-23px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It should be possible for an entity in one system or service (such as the EHR) to refer to an entity in another system or service in such a way that: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the target of the reference is easily finable within the shared environment, and </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:120px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the reference does is valid regardless of the physical architecture of servers and applications. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following subsections describe some of the features and challenges of identification. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identification of Real World Entities (RWEs) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Real world entities such as people, car engines, invoices, and appointments can all be assigned identi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fiers. Although many of these are designed to be unique within a jurisdiction, they are often not, due to data entry errors, bad design (ids that are too small or incorporate some non-unique characteristic of the identified entities), bad process (e.g. non-synchronised id issuing points); identity theft (e.g. via theft of documents of proof or hacking). In general, while some real world identifiers (RWIs) are “nearly unique”, none can be guaranteed so. It should also be the case that if two RWE identifiers are equal, they refer to the same RWE, but this is often not the case. For practical purposes, RWIs cannot be regarded as computationally safe for making the inferences described here. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identification of Informational Entities (IEs) </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>As soon as information systems are used to record facts about RWEs, the situation becomes more complex because of the intangible nature of information. In particular: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the same RWE can be represented simultaneously on more than one system (‘spatial multi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>plicity’); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the same RWE may be represented by more than one “version” of the same IE in a system (‘temporal multiplicity’). </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>At first sight, it appears that there can also be </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>purely</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> informational entities, i.e. IEs which do not refer to any RWE, such as books, online-only documents and software. However, as soon as one considers an example it becomes clear that there is always a notional ‘definitive’ or ‘authoritative’ (i.e. trusted) version of every such entity. These entities can better be understood as ‘virtual RWEs’. Thus it can still be said that multiple IEs may refer to any given RWE. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The underlying reason for the multiplicity of IEs is that ‘reality’ - time and space - in computer sys</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tems is not continuous but discrete, and each ‘entity’ is in fact just a snapshot of certain attribute val</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ues of a RWE, at a point in time, in a particular system. If identifiers are assigned to IEs without regard to versions or duplicates, then no assertion can be made about the identified RWE when two IE ids are compared. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identification of Versions </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:32px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The notion of ‘versioning’ applies only to informational entities, i.e. distinct instances of content each representing a snapshot of some logical entity. Where such instances are stored and managed in ver</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sioned containers within a versioning system of some kind, explicit identification of the versions is </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 34 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>required. The requirements are discussed in detail in the Common IM, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. They can be summarised as follows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be possible to distinguish two versions of the same logical entity, i.e. know from the identifier if they are the same or different versions of the same thing; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be possible to distinguish two versions of the same logical entity created in two dis</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tinct systems; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:11px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>it must be possible to tell the relationship between the items in a versioned lineage, from the version identifiers. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Referencing of Informational Entities </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Within a distributed information environment, there is a need for entities not connected by direct ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erences in the same memory space to be able to refer to each other. There are two competing require</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ments: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>that the separation of objects in a distributed computing environment not compromise the semantics of the model; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:22px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>that different types of information can be managed relatively independently; for example EHR and demographic information can be managed by different groups in an organisation or community, each with at least some freedom to change implementation and model details. </SPAN
+></LI>
+</ul>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17533">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Design </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This package models only informational identifiers, i.e. transparent identifiers understood by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR or related computational systems. Real World Entity Identifiers such as driver’s license numbers are modelled using the data type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_IDENTIFIER</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. This is not to imply that such identifiers are any less systematic or well-managed than the system identifiers defined here, only that from the point of view of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, they have the same status as other informational attributes such as name, address etc of a Person. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A key design decision has been to choose a string representation for all identifiers, with subparts being made available by appropriate functions which perform simple parsing on the string. This ensures that the data representation of identifiers (e.g. in XML) is as small as possible, while not los</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing object-oriented typing. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17538" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Primitive Identifiers </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Three kinds of types are defined in this package. The abstract </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type and its subtypes correspond to permanent, computationally reliable, primitive identifiers. Such identifiers are regarded as ‘primitive’ because they are treated as having no further internal structure, in the sense that part of such an iden</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tifier is not in general meaningful. The three subtypes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UUID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ISO_OID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>INTERNET_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> all have these properties, and are commonly accepted ways of uniquely identifying entities in computer sys</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tems. In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR (and generally in health informatics) they are usually used as parts of other identi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fiers. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:46px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A consequence of the string representation approach used in these classes is that to set an attribute of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> from a string value, as would be done when reading from a database, deserialising from XML or another text form, a piece of code that inspects the string structure has to be used in order to decide which of the subtypes of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> it is. This is a safe thing to do, since all three subtypes have mutually exclusive string patterns, and can easily be distinguished. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 35 of 6</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17560" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Composite Identifiers </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type and its hierarchy of subtypes correspond to composite identifier types whose structure and semantics are defined by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR (rather than external organisations), and are the main means of identifying information items in an </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR system. The abstract type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID_BASED_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and its two subtypes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>HIER_OBJECT_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>provide respec</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tively, UID-based identifiers for non-versioned and versioned items. The design of the latter subtype is explained in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Common IM, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:11px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The other subtypes, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> define different kinds of identifier, the former being a multi-axial identifier for archetypes, and the latter being a globally unique single string identifier for terminologies. The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class explicitly includes archetype version as part of the identifier, while terminology identifier values are assumed to include this, either as part of the name (e.g. as is done in the US National Library of Medicine UMLS identifiers - see </SPAN
+><A href="http://www.nlm.nih.gov/research/umls/metaa1.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.nlm.nih.gov/research/umls/metaa1.html</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), or according to the syntax defined in </SPAN
+><A href="#LinkTarget_18094">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>section 4.3.12</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> below. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifying Versions </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> defines the semantics of the scheme used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR for identifying versions, and uses a three-part identifier, consisting of: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the identifier of the version container, in the form of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the location in the version tree, as a 1- or 3-part numeric identifier, where the latter variant expresses branching; this is modelled using the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION_TREE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the identifier of the system in which this version was created, or type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Under this scheme, multiple versions in the same container all have the same value for </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, while their location in the version tree is given by the combination of the version tree identifier and the identifier of the creating system. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The requirements on the third part of the identifier are that it be unique per system, and that it be easy to obtain or generate. It is also helpful if it is a meaningful identifier. The two most practical candi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>dates appear to be GUIDs (which are not meaningful, but are easy to generate) and reverse internet </SPAN
+><SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>domain identifiers, as recommended in [3] (these are easy to determine if the system has an internet </SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>address, and are meaningful and directly processible, however unconnected systems pose a problem). ISO Oids might also be used. All of these identifier types are accommodated via the use of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A full explanation of the version identification scheme and its capabilities is given in the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>change_control</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> section of the Common IM. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_17585" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>References </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:55px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>All </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_IDs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are used as identifier attributes </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>within</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> the thing they identify, in the same way as a database primary key. To </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>refer</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> to an identified object from another object, an instance of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>should generally be used, in the same way as a database foreign key. The class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is provided as a means of distributed referencing, and includes the object namespace (typically 1:1 with some service, such as “terminology”) and type. The general principle of object ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erences is to be able to refer to an object available in a particular namespace or service. Usually they are used to refer to objects in other services, such as a demographic entity from within an EHR, but they may be used to refer to local objects as well. The type may be the concrete type of the referred-to object (e.g. “GP”) or any proper ancestor (e.g. “PARTY”). </SPAN
+></P>
+<P style="margin-bottom:15px; 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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 200</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 36 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_17601" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Descriptions </SPAN
+></P>
+<P ID="LinkTarget_17602" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>UID Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UID (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract parent of classes representing unique identifiers which identify informa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion entities in a durable way. UIDs only ever identify one IE in time or space and are never re-used. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 UID Data type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The value of the id. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17625" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ISO_OID Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ISO_OID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Model of ISO’s Object Identifier (oid) as defined by the standard ISO/IEC 8824 . Oids are formed from integers separated by dots. Each non-leaf node in an Oid starting from the left corresponds to an assigning authority, and identifies that authority’s namespace, inside which the remaining part of the identifier is locally unique. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 OID Data type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17646" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>UUID Class </SPAN
+></P>
+<TABLE style="margin-bottom:46px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UUID </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:84px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:84px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Model of the DCE Universal Unique Identifier or UUID which takes the form of hexadecimal integers separated by hyphens, following the pattern 8-4-4-4-12 as defined by the Open Group, CDE 1.1 Remote Procedure Call specification, Appendix A. Also known as a GUID. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 UUID Data type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 37 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="text-align:center; width:232px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH style="text-align:center; vertical-align:middle; width:89px; height:31px; background-color:#CCFFFF; border-style: solid none solid none; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UUID </SPAN
+></TH>
+<TH style="width:218px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="text-align:center; width:232px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:89px; height:33px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
+<TD style="width:218px; height:33px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:232px; height:32px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 4px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:89px; height:32px; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+<TD style="vertical-align:top; width:218px; height:32px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17688" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>INTERNET_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:13px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>INTERNET_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:75px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 8px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:bottom; width:538px; height:75px; border-style:solid; border-color:#000000; border-width:4px 1px 8px 1px">
+<A href="http://www.ietf.org/rfc/rfc1034.txt">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Model of a reverse internet domain, as used to uniquely identify an internet domain. In the form of a dot-separated string in the reverse order of a domain name, specified by IETF RFC 1034 (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.ietf.org/rfc/rfc1034.txt</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:8px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:8px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17707" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Syntax </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>According to IETF RFC1034, the syntax of a domain name follows the BNF grammar: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>domain</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: subdomain | ‘ </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>subdomain</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: label | subdomain ‘.’ labe</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>l 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>label</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: letter [ [ ldh-str ] let-dig </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>]
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>ldh-str</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: let-dig-hyp | let-dig-hyp ldh-st</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>r
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>let-dig-hyp</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: let-dig | ‘-</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>’
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>let-dig</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: letter | digi</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>t 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>letter</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: any one of the 52 alphabetic characters A through Z i</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>n
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>upper case and a through z in lower cas</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>e 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>digit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: any one of the ten digits 0 through 9</SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>It can also be expressed using the regular expression: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>[a-zA-Z]([a-zA-Z0-9-]*[a-zA-Z0-9])?(\.[a-zA-Z]([a-zA-Z0-9-]*[a-zA-Z0-9]))* </SPAN
+></P>
+<P ID="LinkTarget_17722" style="text-align:left; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OBJECT_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:38px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBJECT_ID (abstract) </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TH>
+<TD style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Ancestor class of identifiers of informational objects. Ids may be completely meaningless, in which case their only job is to refer to something, or may carry some information to do with the identified object. </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Use </SPAN
+></TH>
+<TD style="vertical-align:top; width:538px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Object ids are used inside an object to identify that object. To identify another object in another service, use an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, or else use a UID for local objects identified by UID. If none of the subtypes is suitable, direct instances of this class may be used. </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 38 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBJECT_ID (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The value of the id in the form defined below. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17760" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>UID_BASED_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:12px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UID_BASED_ID (abstract) </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:72px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:72px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Abstract model of UID-based identifiers consisting of a root part and an optional extension; lexical form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>root ‘::’ extension </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>root</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The identifier of the conceptual namespace in which the object exists, within the identifica</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion scheme. Returns the part to the left of the first ‘::’ sep</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>arator, if any, or else the whole string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>extension</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Optional local identifier of the object within the context of the root identifier. Returns the part to the right of the first ‘::’ separator if any, or else any empty String. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_extension</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if extension /= Void </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Root_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: root /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Extension_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: extension /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Has_extension_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: extension.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> has_extension </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<H4 ID="LinkTarget_17794" style="margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier Syntax </SPAN
+></H4>
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The syntax of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute by default follows the following production rules (EBNF): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: root [ ‘::’ extension ] </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>root</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: uid -- see UID above </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>extension</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: string </SPAN
+></P>
+<P ID="LinkTarget_17797" style="text-align:left; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>HIER_OBJECT_ID Class </SPAN
+></P>
+<IMG width=652 height=85 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/support_im_img_15.png">
+<P style="text-align:justify; margin-bottom:46px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Concrete type corresponding to hierarchical identifiers of the form defined by </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>UID_BASED_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 39 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HIER_OBJECT_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>HL7 </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The HL7v3 II Data type. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>UID_BASED_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17832" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OBJECT_VERSION_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:12px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:54px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Globally unique identifier for one version of a versioned object; lexical form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>object_id ‘::’ creating_system_id ‘::’ version_tree_id </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>UID_BASED_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:242px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:293px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:123px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:242px; height:123px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> UID </SPAN
+></TD>
+<TD style="vertical-align:top; width:293px; height:123px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Unique identifier for logical object of which this identifier identifies one version; normally the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> will be the unique identifier of the version container contain</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing the version referred to by this </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:242px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_tree_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION_TREE_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:293px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Tree identifier of this version with respect to other versions in the same version tree, as either 1 or 3 part dot-separated numbers, e.g. “1”, “2.1.4”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:242px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> UID </SPAN
+></TD>
+<TD style="width:293px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier of the system that created the Version corresponding to this Object ver</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>sion id. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:242px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_branch</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:293px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this version identifier represents a branch. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Object_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: object_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_tree_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_tree_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>creating_system_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: creating_system_id /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17869" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.8.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier Syntax </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The string form of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> stored in its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute consists of three segments separated by double colons (“::”), i.e. (EBNF): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:32px; margin-right:25px; margin-left:41px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: object_id ‘::’ creating_system_id ‘::’ version_tree_id </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>object_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: uid -- see UID below </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>creating_system_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Date of Issue:</SPAN
+><A href="#LinkTarget_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 40 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>An example is as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>F7C5C7B7-75DB-4b39-9A1E-C0BA9BFDBDEC::87284370-2D4B</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>4e3d-A3F3-F303D2F4F34B::</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>2 
+</SPAN
+></P>
+<P ID="LinkTarget_17888" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.9 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>VERSION_TREE_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:12px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>VERSION_TREE_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:54px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:54px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version tree identifier for one version. Lexical form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>trunk_version [ ‘.’ branch_number ‘.’ branch_version ] </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:194px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:340px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:340px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>String form of this identifier. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:194px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:340px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>trunk_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:340px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Trunk version number; numbering starts at 1. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>branch_number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="width:340px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Number of branch from the trunk point; number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing starts at 1. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>branch_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> String </SPAN
+></TD>
+<TD style="vertical-align:top; width:340px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version of the branch; numbering starts at 1. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_branch</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:340px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this version identifier represents a branch, i.e. has </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch_number</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> parts. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:194px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_first</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+> Boolean </SPAN
+></TD>
+<TD style="width:340px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if this version identifier corresponds to the first version, i.e. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trunk_version</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> = “1” </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:214px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:214px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Value_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: value /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> value.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Trunk_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: trunk_version /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>trunk_version.is_integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> trunk_version.as_integer &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Branch_number_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: branch_number /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch_number.is_integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> branch_number.as_integer &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Branch_version_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: branch_version /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch_version.is_integer </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> branch_version.as_integer &gt;= 1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Branch_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: (branch_number = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> branch_version = Void ) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(branch_number /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> branch_version /= Void ) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_branch_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: is_branch </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>branch_number = Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Is_first_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is_first </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>xor</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> trunk_version.is_equal(“1”) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_17932" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.9.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Syntax </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The format of the value attribute is (EBNF): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:78px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: trunk_version [ ‘.’ branch_number ‘.’ branch_version </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>]
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; color:#000000"
+>trunk_version</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: { digit }</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>+ 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; color:#000000"
+>branch_number</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: { digit }</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>+ 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; color:#000000"
+>branch_version</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>: { digit }</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>+ 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 41 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_17951" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.10 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ARCHETYPE_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:71px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ARCHETYPE_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:73px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:73px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier for archetypes. Lexical form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>rm_originator ‘-’ rm_name ‘-’ rm_entity ‘.’ concept_name { ‘-’ specialisation }* ‘.v’ number </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>qualified_rm_entity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Globally qualified reference model entity, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“openehr-composition-OBSERVA</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TION”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>domain_concept</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of the concept represented by this archetype, including specialisation, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“biochemistry_result-choles</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>terol”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rm_originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Organisation originating the reference model on which this archetype is based, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“openehr”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“cen”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“hl7”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rm_name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:306px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of the reference model, e.g. </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“rim”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“ehr_rm”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“en13606”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:86px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:86px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rm_entity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:86px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of the ontological level within the ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erence model to which this archetype is tar</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>geted, e.g. for openEHR, “folder”, “composition”, “section”, “entry”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>specialisation</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of specialisation of concept, if this archetype is a specialisation of another arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type, e.g. “cholesterol”. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version of this archetype. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:195px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:195px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Qualified_rm_entity_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: qualified_rm_entity /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>qualified_rm_entity.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Domain_concept_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: domain_concept /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>domain_concept.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Rm_originator_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rm_originator /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_originator.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Rm_name_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rm_name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_name.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Rm_entity_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: rm_entity /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_entity.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Specialisation_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: specialisation /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>specialisation.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_id.is_empty </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 42 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18015" style="text-align:left; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.10.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Archetype ID Syntax </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetype identifiers are “multi-axial”, meaning that each identifier instance denotes a single arche</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type within a multi-dimensional space. In this case, the space is essentially a versioned 3-dimensional space, with the dimensions being: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; text-align:left; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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:left; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>domain concept </SPAN
+></LI>
+<LI style="list-style-type:disc; text-align:left; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; 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="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; 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. The syntax of an </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ARCHETYPE_ID</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is as follows (EBNF): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>archetype_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: qualified_rm_entity ‘.’ domain_concept ‘.’ version_id </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>qualified_rm_entity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: rm_originator ‘-’ rm_name ‘-’ rm_entit</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>y 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>rm_originator</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: V_NAM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>E 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>rm_name</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: V_NAM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>E 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>rm_entity</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: V_NAM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>E 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>domain_concept</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: concept_name { ‘-’ specialisation }</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>* 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>concept_name</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: V_NAM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>E 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>specialisation</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: V_NAM</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>E 
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: ‘v’ V_NUMBER </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:38px; line-height:16px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>NUMBER</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: [0-9]</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>* 
+</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:9.9pt; color:#000000"
+>NAME</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>: [a-z][a-z0-9()/%$#&amp;]</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>*
+</SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The field meanings are as follows: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_originator</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id of organisation originating the reference model on which this archetype is based; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id of the reference model on which the archetype is based; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rm_entity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: ontological level in the reference model; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>domain_concept</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: the domain concept name, including any specialisations; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-left:36px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: numeric version identifier; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples of archetype identifiers include: </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-right:61px; margin-left:36px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>openehr-composition-SECTION.physical_examination.v2 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>openehr-composition-SECTION.physical_examination-prenatal.v1 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; margin-right:61px; margin-left:36px; line-height:20px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>hl7-rim-act.progress_note.v1 </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>openehr-composition-OBSERVATION.progress_note-naturopathy.v2 </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Archetypes can also be identified by other means, such as ISO oids. </SPAN
+></P>
+<P ID="LinkTarget_18054" style="text-align:left; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.11 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TEMPLATE_ID Class </SPAN
+></P>
+<IMG width=652 height=72 style="display:block; float:none; text-align:center; margin-bottom:27px" src="images/support_im_img_16.png">
+<P style="margin-bottom:51px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier for templates. Lexical form to be determined. </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 43 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH style="width:183px; height:31px; background-color:#CCFFFF; border-style: solid none solid solid; border-color: #000000; border-width:3px 1px 4px 1px"/>
+<TH colspan=2 style="text-align:right; vertical-align:middle; width:155px; height:31px; background-color:#CCFFFF; border-style: solid none solid none; border-color: #000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TEMPLATE_ID </SPAN
+></TH>
+<TH style="text-align:center; width:200px; height:31px; background-color:#CCFFFF; border-style: solid solid solid none; border-color: #000000; border-width:3px 1px 4px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:183px; height:33px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+<TD colspan=2 style="text-align:right; vertical-align:top; width:155px; height:33px; 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:200px; height:33px; 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:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:183px; height:35px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:right; vertical-align:top; width:49px; height:35px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:106px; height:35px; background-color:#CCFFFF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:200px; height:35px; background-color:#CCFFFF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD style="vertical-align:top; width:183px; height:32px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 4px 1px"/>
+<TD colspan=2 style="text-align:right; vertical-align:top; width:155px; height:32px; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+<TD style="text-align:center; vertical-align:top; width:200px; height:32px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18094" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.12 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TERMINOLOGY_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:12px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERMINOLOGY_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:185px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:185px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier for terminologies such accessed via a terminology query service. In this class, the value attribute identifies the Terminology in the terminology service, e.g. “SNOMED-CT”. A terminology is assumed to be in a particular language, which must be explicitly specified. The value if the id attribute is the precise terminology id identifier, including actual release (i.e. actual “version”), local modifications etc; e.g. “ICPC2”. Lexical form: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>name [ ‘(’ version ‘)’ ] </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return the terminology id (which includes the “version” in some cases). Distinct names corre</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>spond to distinct (i.e. non-compatible) terminol</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ogies. Thus the names “ICD10AM” and “ICD10” refer to distinct terminologies. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>version_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:322px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Version of this terminology, if versioning sup</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ported, else the empty string. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:46px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Name_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Version_id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: version_id /= Void </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18124" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>4.3.12.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier Syntax </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The syntax of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>value</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is as follows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; margin-left:38px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#000000"
+>name [ ‘(’ version ‘)’ ]</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Examples of terminology identifiers include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“snomed-ct” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“ICD9(1999)” </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:32px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Versions should only be needed for those terminologies which break the rule that the thing being identified with a code loses or changes its meaning over versions of the terminology. This should not be the case for well known modern terminologies and ontologies, particularly those designed since the publication of Cimino’s ‘desiderata’ </SPAN
+><A href="#LinkTarget_19407">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>[1]</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> of which the principle of “concept permanance” is appli-</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 44 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>cable here - “A concept's meaning cannot change and it cannot be deleted from the vocabulary”. However, there maybe older terminologies, or specialised terminologies which may not have obeyed these rules, but which are still used; version ids should always be used for these. </SPAN
+></P>
+<P ID="LinkTarget_18150" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.13 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>GENERIC_ID Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>GENERIC_ID </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Generic identifier type for identifiers whose format is othterwise unknown to </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR. Includes an attribute for naming the identification scheme (which may well be local). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>attributes </SPAN
+></TD>
+<TD style="width:214px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:322px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:214px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>scheme</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:322px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of the scheme to which this identifier conforms. Ideally this name will be recognisa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ble globally but realistically it may be a local </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ad hoc</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> scheme whose name is not controlled or standardised in any way. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Scheme_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: scheme /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>scheme.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18174" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.14 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OBJECT_REF Class </SPAN
+></P>
+<TABLE style="margin-bottom:84px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBJECT_REF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Class describing a reference to another object, which may exist locally or be maintained outside the current namespace, e.g. in another service. Services are usually external, e.g. available in a LAN (including on the same host) or the inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>net via Corba, SOAP, or some other distributed protocol. However, in small sys</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tems they may be part of the same executable as the data containing the Id. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>OBJECT_I</SPAN
+><SPAN style="font-family:'serif', 'Courier New PS'; font-size:10.9pt; font-style:italic; font-weight:normal; color:#000000"
+>D </SPAN
+></TD>
+<TD style="width:307px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Globally unique id of an object, regardless of where it is stored. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:160px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:160px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>namespace</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:160px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Namespace to which this identifier belongs in the local system context (and possibly in any other </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR compliant environment) e.g. “terminology”, “demographic”. These names are not yet standardised. Legal values for the namespace are </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“local” | “unknown” | “[a-zA</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Z][a-zA-Z0-9_-:/&amp;+?]*” </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 45 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OBJECT_REF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:140px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:306px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of the class (concrete or abstract) of object to which this identifier type refers, e.g. “PARTY”, “PERSON”, “GUIDELINE” etc. These class names are from the relevant ref</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>erence model. The type name “ANY” can be used to indicate that any type is accepted (e.g. if the type is unknown). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:64px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:64px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Id_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Namespace_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: namespace /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> namespace.is_empty </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18222" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.15 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>ACCESS_GROUP_REF Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>ACCESS_GROUP_REF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to access group in an access control service. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:306px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type.is_equal(“ACCESS_GROUP”) </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18240" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.16 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>PARTY_REF Class </SPAN
+></P>
+<TABLE style="margin-bottom:120px">
+<TR>
+<TD style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>PARTY_REF </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:121px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:121px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identifier for parties in a demographic or identity service. There are typically a number of subtypes of the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> class, including </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PERSON</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ORGANISATION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, etc. Abstract supertypes are allowed if the referenced object is of a type not known by the current implementation of this class (in other words, if the demographic model is changed by the addition of a new </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> or </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ACTOR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> subtypes, valid </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>PARTY_REFs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can still be constructed to them). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:34px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD rowspan=2 style="vertical-align:top; width:538px; height:99px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature Meaning </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Type_validity</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: type.is_equal(“PERSON”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_equal(“ORGANISATION”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_equal(“GROUP”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_equal(“AGENT”)</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>type.is_equal(“ROLE”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_equal(“PARTY”) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>or</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> type.is_equal(“ACTOR”) </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 46 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Identification Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18268" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>4.3.17 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>LOCATABLE_REF Class </SPAN
+></P>
+<TABLE style="margin-bottom:456px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>LOCATABLE_REF </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Reference to a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>LOCATABLE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> instance inside the top-level content structure inside a </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION&lt;T&gt;</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute is applied to the object that </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> points to. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_REF </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:53px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 (redefined) </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:53px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OBJECT_VERSION_ID </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:53px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The identifier of the Version. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>0..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>path</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The path to an instance in question, as an absolute path with respect to the object found at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>VERSION</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>data</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. An empty path means that the object referred to by id being specified. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:232px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:307px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>1..1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:232px; height:65px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>as_uri</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:307px; height:65px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A URI form of the reference, created by con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>catenating the following: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>“ehr://” + id.value + “/” + path </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariant </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Path_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: path /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>implies not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> path.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 47 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Identification Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 48 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18329" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Terminology Package </SPAN
+></P>
+<P ID="LinkTarget_18330" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This section describes the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>terminology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, which contains classes for accessing terminolo</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>gies and code sets, including the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Terminology, from within instances of classes defined in the reference model. The classes shown here would normally be inherited via the classes </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>EXTERNAL_ENVIRONMENT_ACCESS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OPENEHR_DEFINITIONS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, although the exact details of how this is done may vary depending on implementation language. </SPAN
+></P>
+<P ID="LinkTarget_18333" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Service Interface </SPAN
+></P>
+<P ID="LinkTarget_18334" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Code Sets </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A simple terminology service interface is defined according to FIGURE 6, enabling </SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR code sets and terminology to be referenced formally from within the Reference Model. Two types of coded entities are distinguished in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, and are accessible via the service interface. The first is codes from ‘code sets’, which are the kind of terminology where the code stands for itself, such as the ISO 639-1 language codes. The identifiers themselves of these code sets do not appear to be standardised, but names such as “ISO_639-1” are expected to be used (see below). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In any case, code sets needed within the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models themselves (e.g. for attributes whose value is a language code) are not referred to directly by an external name such as “ISO_639-1”, but via an internal constant, in this case, the constant Code_set_id_languages, whose value is defined to be “lan</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>guages”. These constants are defined in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS</SPAN
+><SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in FIGURE </SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>6.</SPAN
+></SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> The mapping between the internal identifiers and external names should be done in configuration files. The service function </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_SERVICE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set_for_id()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is used to retrieve code sets on the basis of a constant. The current mapping and external identifiers assumed in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR is defined in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Terminology document. This use of indirection is employed to ensure that the obsoleting and superseding of code-sets does not directly affect </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR software. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>For code sets not mapped to internally used constants, i.e. code sets not required in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR model itself, but otherwise known in the terminology service, the function </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_SERVICE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> can be used to retrieve these code sets by their external identi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fier. </SPAN
+></P>
+<P ID="LinkTarget_18344" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Terminologies </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Terminologies, including the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Terminology are accessed via the </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_SERVICE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>functions </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> and </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology_identifiers()</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, where the argument includes “openehr”, “centc251” (for CEN TC/251codes) and names from the US NLM terminologies list (see below). The </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology supports groups, and the set of groups required by the reference model is defined in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. These groups correspond to coded attributes found in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model. </SPAN
+></P>
+<P ID="LinkTarget_18346" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.2.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Terms and Codes in the </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>EHR Reference Model </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:62px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True coded attributes in the Reference Model (i.e. attributes of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>DV_CODED_TEXT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>), such as </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>FEEDER_AUDIT</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>.</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> are defined by an invariant in the enclosing class, such as the follow</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ing: </SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 49 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:46px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:10.9pt; font-stretch:semi-condensed; color:#0000FF"
+>terminology </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Terminology_id_openehr</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“openehr” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_audit_change_type</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“audit change type” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_attestation_reason</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“attestation reason” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_composition_category</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“composition category” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_event_math_function</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“event math function” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_instruction_states</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“instruction states” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_instruction_transitions</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“instruction transitions” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_null_flavours</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“null flavours” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_property</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“property” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_participation_function</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“participation function” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_participation_mode</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“participation mode” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_setting</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“setting” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_term_mapping_purpose</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“term mapping purpose” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_subject_relationship</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“subject relationship” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Group_id_version_lifecycle_state</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“version lifecycle state” </SPAN
+></P>
+<P style="margin-bottom:415px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>valid_group_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>an_id: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+></P>
+<IMG width=12 height=19 style="display:block; float:none; text-align:right; margin-bottom:251px" src="images/support_im_img_17.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>TERMINOLOGY_SERVICE </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS </SPAN
+></P>
+<P style="text-align:left; margin-bottom:7px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_character_sets</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“character sets” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_compression_algorithms</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“compression algorithms” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_countries</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“countries” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_integrity_check_algorithms</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“integrity check algorithms” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_languages</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“languages” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_media_types</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“media types” </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>const</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+> Code_set_id_normal_statuses</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>is </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>“normal statuses” </SPAN
+></P>
+<P style="text-align:left; margin-bottom:241px; line-height:14px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>valid_code_set_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>an_id: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+></P>
+<IMG width=12 height=20 style="display:block; float:none; margin-bottom:251px" src="images/support_im_img_18.png">
+<P style="text-align:left; margin-bottom:26px; margin-right:54px; line-height:16px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>CODE_SET_ACCESS &lt;&lt;interface&gt;&gt; </SPAN
+></P>
+<P style="text-align:left; margin-bottom:251px; line-height:14px">
+<SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>all_codes</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&lt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&gt; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>has_lang</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>has_code</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+></SPAN
+><SPAN style=" font-weight:normal"
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>terminology</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>TERMINOLOGY_ACCESS </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>code_set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_SET_ACCESS </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>code_set_for_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_SET_ACCESS </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>has_terminology</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>has_code_set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>terminology_identifiers</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List&lt;String&gt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>openehr_code_sets</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Hash&lt;String, String&gt; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>code_set_identifiers</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>List&lt;String&gt; </SPAN
+></SPAN
+></P>
+<TABLE style="text-align:right; margin-bottom:89px">
+<TR>
+<TH style="width:273px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>TERMINOLOGY_ACCESS &lt;&lt;interface&gt;&gt; </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:273px; height:19px; border-style:solid; border-color:#000000; border-width:1px"/>
+</TR>
+<TR>
+<TH style="width:273px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>all_codes</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&lt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&gt; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>codes_for_group_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&lt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&gt; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>codes_for_group_name</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Set</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&lt;</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>&gt; </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>has_code_for_group_id</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>rubric_for_code</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>...</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>String </SPAN
+></TH>
+</TR>
+</TABLE>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 6 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.support.terminology Package </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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'; font-size:12pt; color:#000000"
+>Change_type_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>:terminology(Terminology_id_openehr).has_code_for_group_i</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>d 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(Group_id_audit_change_type, change_type.defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>This is a formal way of saying that the attribute </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> must have a value such that its </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>defining_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (its </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) is in the set of </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASEs</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Terminology which are in the group whose indentifier is Group_id_audit_change_type. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A similar invariant is used for attributes of type </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, which come from a code_set. The following invariant appears in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>ENTRY</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>rm.composition.content.entry</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package): </SPAN
+></P>
+<P style="text-align:left; margin-bottom:22px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Language_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: media_type /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and the</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>n 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>code_set(Code_set_languages).has_code(language</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>) 
+</SPAN
+></P>
+<P ID="LinkTarget_18391" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Identifiers </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>In </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR, the identifier of a terminology or code set is found in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>terminology_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> attribute of the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (Data Types Information Model, </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>text</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package). </SPAN
+></P>
+<P ID="LinkTarget_18393" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.3.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Code Set Identifiers </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Internal code set identifiers (such as “languages”) used in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR are defined in the class </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; assumed external identifiers (such as “ISO_639-1”) for code sets used by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model are defined in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Support Terminology docu</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ment. </SPAN
+></P>
+<P ID="LinkTarget_18396" style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.3.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Terminology Identifiers </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Valid identifiers that can be used for this attribute for terminologies include but are not limited to the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“openehr” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“centc251” </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:0px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>an identifier value from the first column of the US National Library or Medicine (NLM) UMLS terminology identifiers table below, in either of two forms: </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:7px; margin-left:96px; line-height:21px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>as is, e.g. “ICD10AM_2000”, “ICPC93”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; 
+</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>with any trailing section starting with an underscore removed, e.g. “ICD10AM”</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Other identification schemes are used in some standards, such as ISO Oids. These are not specified for direct use in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR for various reasons: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>they are not currently used by the NLM, and no definitive published list of terminology identifiers is available; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ISO Oids are long identifiers and may significantly increase the size of persisted informa</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tion due to the ubiquity of coded terms; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>determing the identity of the terminology in data always requires a request to a service con</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>taining the Oid / name mapping; </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>there is a safety factor in having human readable terminology identifiers in the data. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:94px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The use of Oid-based or other terminology identification schemes is not however incompatible with </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR; all that is required is a terminology identifier / name mapping service or table. </SPAN
+></P>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 51 of 6</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Terminology Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The following table is a snapshot of the US National Library of Medicine UMLS terminology identi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>fiers list. A definitive up-to-date list may be found on the NLM website at </SPAN
+><A href="http://www.nlm.nih.gov/research/umls/metaa1.html">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.nlm.nih.gov/research/umls/metaa1.html</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. </SPAN
+></P>
+<TABLE style="margin-bottom:38px">
+<CAPTION  style="margin-bottom:38px">
+<P style="margin-bottom:38px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="vertical-align:top; width:163px; height:27px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:486px; height:27px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UMLS 2003 Terminology Identifiers </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>AIR93 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>AI/RHEUM,1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ALT2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Alternative Billing Concepts, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>AOD2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Alcohol and Other Drug Thesaurus, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>BI98 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Beth Israel Vocabulary, 1.0 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>BRMP2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Portuguese translation of the Medical Subject Headings, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>BRMS2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Spanish translation of the Medical Subject Headings, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CCPSS99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Canonical Clinical Problem Statement System, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CCS99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical Classifications Software, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CDT4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Current Dental Terminology(CDT), 4 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COSTAR_89-95 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COSTAR, 1989-1995 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CPM93 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Entities Dictionary, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CPT01SP </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physicians' Current Procedural Terminology, Spanish Translation, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CPT2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physicians' Current Procedural Terminology, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CSP2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CRISP Thesaurus, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CST95 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>COSTART, 1995 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DDB00 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Diseases Database, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DMD2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>German translation of the Medical Subject Headings, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DMDICD10_1995 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>German translation of ICD10, 1995 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DMDUMD_1996 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>German translation of UMDNS, 1996 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DSM3R_1987 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DSM-III-R, 1987 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DSM4_1994 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DSM-IV, 1994 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DUT2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Dutch Translation of the Medical Subject Headings, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DXP94 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>DXplain, 1994 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIN2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Finnish translations of the Medical Subject Headings, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HCDT4 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HCPCS Version of Current Dental Terminology(CDT), 4 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HCPCS03 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Healthcare Common Procedure Coding System, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HCPT03 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HCPCS Version of Current Procedural Terminology(CPT), 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HHC96 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Home Health Care Classification, 1996 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HL7_1998-2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health Level Seven Vocabulary, 1998-2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HLREL_1998 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC2E-ICD10 relationships from Dr. Henk Lamberts, 1998 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>HPC99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Health Product Comparison System, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10AE_1998 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10, American English Equivalents, 1998 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10AMAE_2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Statistical Classification of Diseases and Related Health Prob</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lems, Australian Modification, Americanized English Equivalents, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10AM_2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Statistical Classification of Diseases and Related Health Prob</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>lems, 10th Revision, Australian Modification, January 2000 Release </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10_1998 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD10, 1998 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 52 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:51px">
+<CAPTION  style="margin-bottom:51px">
+<P style="margin-bottom:51px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="vertical-align:top; width:163px; height:28px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:486px; height:28px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UMLS 2003 Terminology Identifiers </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD9CM_2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICD-9-CM, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC2AE_1998 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Classification of Primary Care, Americanized English Equiv</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>alents, 2E, 1998 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC2E_1998 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Classification of Primary Care 2nd Edition, Electronic, 2E, 1998 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC2P_2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Classification of Primary Care, Version2-Plus, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC93 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Classification of Primary Care, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCBAQ_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Basque Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCDAN_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Danish Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCDUT_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Dutch Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCFIN_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Finnish Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCFRE_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, French Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCGER_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, German Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCHEB_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Hebrew Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCHUN_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Hungarian Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCITA_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Italian Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCNOR_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Norwegian Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCPAE_2000 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>International Classification of Primary Care ,Version2-Plus, Americanized English Equivalents, 2000 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCPOR_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Portuguese Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCSPA_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Spanish Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPCSWE_1993 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ICPC, Swedish Translation, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>INS2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>French translation of the Medical Subject Headings, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ITA2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Italian translation of Medical Subject Headings, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>JABL99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Online Congenital Multiple Anomaly/ Mental Retardation Syndromes, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LCH90 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Library of Congress Subject Headings, 1990 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LNC205 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LOINC, 2.05 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LOINC </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>LOINC </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MCM92 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>McMaster University Epidemiology Terms, 1992 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDDB99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MasterDrug DataBase, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDR51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), 5.1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDRAE51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), American English Equivalents, 5.1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDREA51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), American English, with expanded abbreviations, 5.1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDREX51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), with expanded abbreviations, 5.1 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDRPOR51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), 5.1, Portuguese Edition </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 53 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:40px">
+<CAPTION  style="margin-bottom:40px">
+<P style="margin-bottom:40px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TD style="vertical-align:top; width:163px; height:28px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:486px; height:28px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UMLS 2003 Terminology Identifiers </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:38px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MDRSPA51 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:38px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Dictionary for Regulatory Activities Terminology (MedDRA), 5.1, Spanish Edition </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MIM93 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Online Mendelian Inheritance in Man, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MMSL01 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Multum MediSource Lexicon, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MMX01 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Micromedex DRUGDEX, 2001-08 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MSH2003_2002_10_24 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Medical Subject Headings, 2002_10_24 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTH </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UMLS Metathesaurus </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHCH03 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus CPT Hierarchical Terms, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHHH03 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus HCPCS Hierarchical Terms, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHICD9_2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus additional entry terms for ICD-9-CM, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHMST2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus Version of Minimal Standard Terminology Digestive Endos</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>copy, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHMSTFRE_2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus Version of Minimal Standard Terminology Digestive Endos</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>copy, French Translation, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>MTHMSTITA_2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:40px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus Version of Minimal Standard Terminology Digestive Endos</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>copy, Italian Translation, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NAN99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Classification of Nursing Diagnoses, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCBI2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCBI Taxonomy, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCI2001a </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCI Thesaurus, 2001a </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCISEER_1999 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NCISEER ICD Neoplasm Code Mappings, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NDDF01 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FirstDataBank National Drug DataFile, 2001-07 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NEU99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Neuronames Brain Hierarchy, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NIC99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Nursing Interventions Classification, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>NOC97 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Nursing Outcomes Classification, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>OMIM97 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>OMIM, Online Mendelian Inheritance in Man, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>OMS94 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Omaha System, 1994 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PCDS97 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Patient Care Data Set, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PDQ2002 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Physician Data Query, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PPAC98 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Pharmacy Practice Activity Classification , 1998 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>PSY2001 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Thesaurus of Psychological Index Terms, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>QMR96 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Quick Medical Reference (QMR), 1996 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RAM99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>QMR clinically related terms from Randolph A. Miller, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RCD99 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Clinical Terms Version 3 (CTV3) (Read Codes), 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RCDAE_1999 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Read thesaurus, American English Equivalents, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RCDSA_1999 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Read thesaurus Americanized Synthesized Terms, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RCDSY_1999 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Read thesaurus, Synthesized Terms, 1999 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RUS2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Russian Translation of MeSH, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RXNORM_03AA </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>RXNORM Project, META2003AA </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNM2 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNOMED-2, 2 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNMI98 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNOMED International, 1998 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 54 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:606px">
+<TR>
+<TD style="vertical-align:top; width:163px; height:28px; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:486px; height:28px; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>UMLS 2003 Terminology Identifiers </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Identifier </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:24px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Description </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNOMED-CT </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:20px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SNOMED International Clinical Terms, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SPN02 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Standard Product Nomenclature, 2002 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>SRC </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Metathesaurus Source Terminology Names </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>ULT93 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UltraSTAR, 1993 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UMD2003 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UMDNS: product category thesaurus, 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UMLS </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UMLS: National Library of Medicine, USA </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>UWDA155 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>University of Washington Digital Anatomist, 1.5.5 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>VANDF01 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Veterans Health Administration National Drug File, 2001 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHO97 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHO Adverse Reaction Terminology, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOFRE_1997 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOART, French Translation, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOGER_1997 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOART, German Translation, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOPOR_1997 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:22px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOART, Portuguese Translation, 1997 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:163px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOSPA_1997 </SPAN
+></TD>
+<TD style="vertical-align:top; width:486px; height:21px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WHOART, Spanish Translation, 1997 </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 55 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Terminology Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_18886" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>5.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Definitions </SPAN
+></P>
+<P ID="LinkTarget_18887" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TERMINOLOGY_SERVICE Class </SPAN
+></P>
+<TABLE style="margin-bottom:83px">
+<CAPTION  style="margin-bottom:83px">
+<P style="margin-bottom:83px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERMINOLOGY_SERVICE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines an object providing proxy access to a terminology service. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="width:535px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS, OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:257px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:279px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:22px; background-color:#CCFFFF; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:257px; height:22px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>terminology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (name: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+></TD>
+<TD style="width:279px; height:22px; border-style: border-style:solid solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return an interface to the terminology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:19px; background-color:#CCFFFF; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:257px; height:19px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>TERMINOLOGY_ACCESS </SPAN
+></TD>
+<TD style="width:279px; height:19px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>named </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. Allowable names include </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:21px; background-color:#CCFFFF; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:257px; height:21px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+></TD>
+<TD style="vertical-align:bottom; width:279px; height:21px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“openehr”</SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:111px; background-color:#CCFFFF; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:257px; height:111px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_terminology (name) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:279px; height:111px; border-style: border-style:none solid solid solid; border-color: #000000; border-width:1px 1px 1px 1px">
+<A href="http://www.nlm.nih.gov/research/umls/metaa1.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“centc251” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any name from are taken from the US NLM UMLS meta-data list at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.nlm.nih.gov/research/umls/metaa1.html </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:141px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:257px; height:141px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>code_set</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (name: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_SET_ACCESS </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>has_code_set (name) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+></TD>
+<TD style="vertical-align:top; width:279px; height:141px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return an interface to the code_set iden</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tified by the external identifier </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g. “ISO_639-1”). </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:142px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="vertical-align:top; width:257px; height:314px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>code_set_for_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_SET_ACCESS </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>valid_code_set_id (id) </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>ensure </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Result /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_terminology</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (name: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> not name.is_empty </SPAN
+></TD>
+<TD rowspan=2 style="vertical-align:top; width:279px; height:314px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<A href="http://www.nlm.nih.gov/research/umls/metaa1.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return an interface to the code_set iden</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tified internally in </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR by </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. True if terminology named </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> known by this service. Allowable names include </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“openehr” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>“centc251” </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:6.9pt; font-weight:normal; color:#000000"
+>• </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>any name from are taken from the US NLM UMLS meta-data list at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.nlm.nih.gov/research/umls/metaa1.html </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:172px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 56 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:535px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERMINOLOGY_SERVICE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:102px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:257px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_code_set</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (name: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> not name.is_empty </SPAN
+></TD>
+<TD style="vertical-align:top; width:279px; height:102px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if code_set linked to internal </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>name </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(e.g. “languages”) is available. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:104px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:257px; height:104px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>terminology_identifiers</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:279px; height:104px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<A href="http://www.nlm.nih.gov/research/umls/metaa1.html">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set of all terminology identifiers known in the terminology service. Values from the US NLM UMLS meta-data list at </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.nlm.nih.gov/research/umls/metaa1.html </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:257px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>code_set_identifiers</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>List&lt;String&gt; </SPAN
+></TD>
+<TD style="width:279px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set of all code set identifiers known in the terminology service. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:257px; height:85px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>openehr_code_sets</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Hash&lt;String, String&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:279px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Set of all code sets identifiers for which there is an internal </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR name; returned as a Hash of ids keyed by inter</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>nal name. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:535px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_18972" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>TERMINOLOGY_ACCESS Class </SPAN
+></P>
+<TABLE style="margin-bottom:36px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>TERMINOLOGY_ACCESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines an object providing proxy access to a terminology. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Identification of this Terminology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_codes</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;CODE_PHRASE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return all codes known in this terminology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>codes_for_group_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (group_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;CODE_PHRASE&gt; </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return all codes under grouper ‘group_id’ from this terminology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD rowspan=2 style="vertical-align:top; width:234px; height:133px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_code_for_group_id </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>(group_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>; a_code: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>codes_for_group_name</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (name, lang: </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;CODE_PHRASE&gt; </SPAN
+></TD>
+<TD rowspan=2 style="vertical-align:top; width:305px; height:133px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if ‘a_code’ is known in group ‘group_id’ in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology. Return all codes under grouper whose name in ‘lang’ is ‘name’ from this terminology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:234px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>rubric_for_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (code, lang: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="width:305px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return all rubric of code ‘code’ in language ‘lang’. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id_exists</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> id.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 57 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Terminology Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19021" style="text-align:justify; margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.3 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>CODE_SET_ACCESS Class </SPAN
+></P>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CODE_SET_ACCESS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines an object providing proxy access to a code_set. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>External identifier of this code set </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>all_codes</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Set&lt;CODE_PHRASE&gt; </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Return all codes known in this code set </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:66px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:66px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_lang</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_lang: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:66px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if code set knows about ‘a_lang’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:65px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>has_code</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (a_code: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>CODE_PHRASE</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:65px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if code set knows about ‘a_code’ </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Id_valid</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: id /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then not</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> id.is_empty </SPAN
+></TD>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19052" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.4 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS Class </SPAN
+></P>
+<TABLE style="margin-bottom:20px">
+<CAPTION  style="margin-bottom:20px">
+<P style="margin-bottom:20px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</CAPTION>
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:541px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:541px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of identifiers for groups in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Constants </SPAN
+></TD>
+<TD style="width:319px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:223px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Terminology_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “openehr” </SPAN
+></TD>
+<TD style="width:223px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Name of </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR’s own termi</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>nology </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_audit_change_type</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “audit change type” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_attestation_reason</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “attestation reason” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_composition_category</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “composition category” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_event_math_function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “event math function” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_instruction_states</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “instruction states” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_instruction_transitions</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “instruction transitions” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_null_flavours</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “null flavours” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 58 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:7px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:541px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OPENEHR_TERMINOLOGY_GROUP_IDENTIFIERS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:318px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_property</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “property” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:318px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_participation_function</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “participation function” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:318px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_participation_mode</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “participation mode” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:318px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_subject_relationship</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “subject relationship” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:318px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_setting</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “setting” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:318px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_term_mapping_purpose</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “term mapping purpose” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:318px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Group_id_version_lifecycle_state</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “version lifecycle state” </SPAN
+></TD>
+<TD style="vertical-align:top; width:223px; height:48px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:318px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:223px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:318px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_terminology_group_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (an_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="width:223px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Validity function to test if an identifier is in the set defined by this class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:541px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19153" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>5.4.5 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS Class </SPAN
+></P>
+<TABLE style="margin-bottom:62px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>List of identifiers for code sets in the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR terminology. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Constants </SPAN
+></TD>
+<TD style="width:319px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:221px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_character_sets</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “character sets” </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:221px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_compression_algorithms</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “compression algorithms” </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:221px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_countries</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “countries” </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:221px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_integrity_check_algorithms</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is “integrity check algorithms” </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:221px; height:48px; 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:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_languages</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “languages” </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:top; width:221px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 59 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Terminology Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:668px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:539px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OPENEHR_CODE_SET_IDENTIFIERS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:46px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:319px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_media_types</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “media types” </SPAN
+></TD>
+<TD style="vertical-align:top; width:221px; height:46px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="width:319px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>Code_set_id_normal_statuses</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> is “normal statuses” </SPAN
+></TD>
+<TD style="vertical-align:top; width:221px; height:48px; 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:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Functions </SPAN
+></TD>
+<TD style="width:319px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:221px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:67px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:319px; height:67px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>valid_code_set_id</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (an_id: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+></TD>
+<TD style="vertical-align:top; width:221px; height:67px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Validity function to test if an identifier is in the set defined by this class. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:539px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 60 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Measurement Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19234" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Measurement Package </SPAN
+></P>
+<P ID="LinkTarget_19235" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:7px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The Measurement package defines a minimum of semantics relating to quantitative measurement, units, and conversion, enabling the Quantity package of the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Data Types Information Model to be correctly expressed. As for the Terminology package, a simple service interface is assumed, which provides useful functions to other parts of the reference model. The definitions underlying measurement and units come from a variety of sources, including: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>CEN ENV 12435, Medical Informatics - Expression of results of measurements in health sciences (see </SPAN
+><A href="http://www.centc251.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.centc251.org</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>); </SPAN
+></LI>
+<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>the Unified Code for Units of Measure (UCUM), developed by Gunther Schadow and Clement J. McDonald of The Regenstrief Institute (available in HL7v3 ballot materials; </SPAN
+><A href="http://www.hl7.org">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:9.9pt; font-weight:normal; color:#0000FF"
+>http://www.hl7.org</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>). </SPAN
+></A>
+</LI>
+</ul>
+<P style="text-align:justify; margin-bottom:22px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>These of course rest in turn upon a vast amount of literature and standards, mainly from ISO on the subject of scientific measurement. </SPAN
+></P>
+<P ID="LinkTarget_19249" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>6.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Service Interface </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:18px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>A simple measurement data service interface is defined according to </SPAN
+><A href="#LinkTarget_19264">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>FIGURE 7</SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>, enabling quantita</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>tive semantics to be used formally from within the Reference Model. Note that this service as cur</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+></SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rently defined in no way seeks to properly model the semantics of units, conversions etc - it provides only the minimum functions required by the </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR Reference Model. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:40px; margin-left:155px; line-height:19px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>measurement </SPAN
+></P>
+<TABLE style="margin-bottom:32px">
+<TR>
+<TH style="width:245px; height:19px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>MEASUREMENT_SERVICE </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="width:245px; height:19px; border-style:solid; border-color:#000000; border-width:1px"/>
+</TR>
+<TR>
+<TH style="width:245px; height:32px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>is_valid_units_string</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> (</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>units</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>units_equivalent </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>(</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>units1</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>, </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>units2</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>: String)</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Boolean </SPAN
+></TH>
+</TR>
+</TABLE>
+<TABLE style="text-align:left; margin-bottom:18px">
+<TR>
+<TH colspan=2 style="width:476px; height:29px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 7 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.support.measurement Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_19266" style="vertical-align:middle; width:61px; height:36px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>6.2.1 </SPAN
+></TH>
+<TD style="width:415px; height:36px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>Class Definitions </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_19269" style="vertical-align:bottom; width:61px; height:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>6.2.1.1 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:415px; height:24px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MEASUREMENT_SERVICE Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:22px">
+<TR>
+<TD style="width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TD>
+<TD style="width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MEASUREMENT_SERVICE </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:114px; height:68px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose Functions </SPAN
+></TD>
+<TD style="vertical-align:top; width:538px; height:68px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines an object providing proxy access to a measurement information service. </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:114px; height:85px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:538px; height:85px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>is_valid_units_string</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (units: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units /= Void T</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>rue if the units string ‘units’ is a valid string according to the HL7 UCUM specification. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; margin-left:510px; text-indent:-509px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 61 of 6</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>7 	</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:26px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Measurement Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<TABLE style="margin-bottom:724px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>MEASUREMENT_SERVICE </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:140px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>units_equivalent</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> (units1, units2: </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>String</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>): </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>Boolean </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>require </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>units1 /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_valid_units_string(units1) units2 /= Void </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>and then </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>is_valid_units_string(units2) </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:140px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>True if two units strings correspond to the same measured property. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 62 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Definition Package Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19317" style="text-align:justify; margin-bottom:26px; margin-left:72px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>Definition Package </SPAN
+></P>
+<P ID="LinkTarget_19318" style="text-align:justify; margin-bottom:7px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.1 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Overview </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:32px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>definition</SPAN
+><A href="#LinkTarget_19330">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+> package, illustrated in FIGURE 8, defines symbolic definitions used by the </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>EHR models. Only a small number are currently defined. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:22px; margin-left:208px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:12pt; font-stretch:semi-condensed; color:#0000FF"
+>definition </SPAN
+></P>
+<IMG width=145 height=116 style="display:block; float:none; text-align:center; margin-bottom:34px" src="images/support_im_img_19.png">
+<P style="margin-bottom:7px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>BASIC_DEFINITIONS </SPAN
+></P>
+<P style="margin-bottom:32px; line-height:15px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>CR</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Character</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> is ‘\015</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>’ 
+</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#007E00"
+>LF</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF0000"
+>: </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#FF00FF"
+>Character</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+> is ‘\012</SPAN
+><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#000000"
+>’ 
+</SPAN
+></P>
+<P style="margin-bottom:68px">
+<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-stretch:semi-condensed; color:#000000"
+>OPENEHR_DEFINITIONS </SPAN
+></P>
+<TABLE style="text-align:left; margin-bottom:21px">
+<TR>
+<TH colspan=2 style="width:457px; height:30px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>FIGURE 8 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
+>rm.support.definition Package </SPAN
+></TH>
+</TR>
+<TR>
+<TH ID="LinkTarget_19332" style="vertical-align:middle; width:57px; height:46px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>7.2 </SPAN
+></TH>
+<TD style="width:400px; height:46px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>Class Definitions </SPAN
+></TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_19335" style="vertical-align:bottom; width:57px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.1 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:400px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>OPENEHR_DEFINITIONS Class </SPAN
+></TD>
+</TR>
+</TABLE>
+<TABLE style="margin-bottom:11px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>OPENEHR_DEFINITIONS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Inheritance class to provide access to constants defined in other packages. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Inherit </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
+>BASIC_DEFINITIONS </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="text-align:center; width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P ID="LinkTarget_19354" style="margin-bottom:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>7.2.2 </SPAN
+><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
+>BASIC_DEFINITIONS Class </SPAN
+></P>
+<TABLE style="margin-bottom:38px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>CLASS </SPAN
+></TH>
+<TH colspan=2 style="vertical-align:middle; width:538px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>BASIC_DEFINITIONS </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:33px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Purpose </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:33px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Defines globally used constant values. </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Attributes </SPAN
+></TD>
+<TD style="width:234px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Signature </SPAN
+></TD>
+<TD style="width:305px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Meaning </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>CR</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Character is ‘\015’ </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Carriage return character </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:top; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
+<TD style="vertical-align:top; width:234px; height:35px; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>LF</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>: Character is ‘\012’ </SPAN
+></TD>
+<TD style="vertical-align:top; width:305px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Linefeed character </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
+>Invariants </SPAN
+></TD>
+<TD colspan=2 style="vertical-align:top; width:538px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px; line-height:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 63 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>Definition Package </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 64 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:justify; margin-bottom:15px; margin-left:597px; text-indent:-596px; line-height:15px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </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_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P ID="LinkTarget_19403" style="text-align:justify; margin-bottom:40px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
+>A References </SPAN
+></P>
+<TABLE style="margin-bottom:815px">
+<TR>
+<TD ID="LinkTarget_19406" style="vertical-align:top; width:41px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>A.1 </SPAN
+></TD>
+<TD style="vertical-align:top; width:604px; height:26px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
+>General </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="width:41px; height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>1 </SPAN
+></TD>
+<TD style="width:604px; height:27px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Cimino J J. </SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>Desiderata for Controlled Medical vocabularies in the Twenty-First Century</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>. IMIA </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="vertical-align:top; width:41px; height:16px"/>
+<TD style="vertical-align:top; width:604px; height:16px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
+>WG6 Conference, Jacksonville, Florida, Jan 19-22, 1997. </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 65 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<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"
+>References </SPAN
+><A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+<A href="#LinkTarget_19440">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 66 of 67 </SPAN
+></A>
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<A href="#LinkTarget_15429">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></A>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+<P style="text-align:left; margin-bottom:0px">
+<A href="#LinkTarget_15311">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Support Information Model </SPAN
+></A>
+</P>
+<P style="margin-bottom:32px">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Rev </SPAN
+><A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>1.6.0 </SPAN
+></A>
+</P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<A href="#LinkTarget_15315">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Editors:{T Beale, S Heard}, {D Kalra, D Lloyd} </SPAN
+></A>
+<A href="#LinkTarget_19439">
+<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
+>Page 67 of 67 </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_15448">
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+> 08 Apr 2007 </SPAN
+></A>
+</P>
+<P style="margin-bottom:0px; line-height:15px">
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>© 2003-2006 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
+>n 
+</SPAN
+></SPAN>
+<SPAN>
+<SPAN style="font-family:'serif', 'Times New Roman'; 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'; font-size:9pt; font-weight:normal; color:#000000"
+>g 
+</SPAN
+></SPAN>
+</P>
+</DIV>
+</DIV>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
