Index: /adl/trunk/pdf2html/sm/ehr_sm/ehr_sm.htm
===================================================================
--- /adl/trunk/pdf2html/sm/ehr_sm/ehr_sm.htm	(revision 78)
+++ /adl/trunk/pdf2html/sm/ehr_sm/ehr_sm.htm	(revision 78)
@@ -0,0 +1,2174 @@
+<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html40/strict.dtd">
+<!-- Created from PDF via Acrobat SaveAsXML -->
+<!-- Mapping table version: 28-February-2003 -->
+<HTML>
+<HEAD>
+<META http-equiv="Content-Type" content="text/html; charset=UTF-8">
+<STYLE type="text/css">
+P {
+ text-align:center;
+ margin-bottom:25px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+SPAN {
+ font-family:'Arial','Helvetica',sans-serif;
+ font-size:8.8pt;
+ font-style:normal;
+ font-weight:normal
+}
+IMG {
+ text-align:right;
+ vertical-align:top;
+ margin-bottom:7px;
+ margin-top:0px;
+ margin-right:0px;
+ margin-left:0px;
+ direction:ltr
+}
+A {
+ font-style:normal;
+ font-weight:normal
+}
+DIV[class="Part"] {
+ text-align:left;
+ margin-bottom:0px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+DIV[class="Sect"] {
+ text-align:left;
+ margin-bottom:0px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+H2 {
+ text-align:center;
+ margin-bottom:8px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+TABLE {
+ border-width:thin;
+ border-collapse:collapse;
+ padding:3px;
+ text-align:center;
+ vertical-align:top;
+ margin-bottom:60px;
+ margin-top:0px;
+ margin-right:0px;
+ margin-left:0px;
+ direction:ltr;
+ width:auto;
+ height:auto;
+ display:table;
+ float:none
+}
+TR {
+ vertical-align:top;
+ height:auto
+}
+TH {
+ text-align:left;
+ vertical-align:top
+}
+TD { 
+ text-align:left;
+ vertical-align:top
+}
+H4 {
+ text-align:justify;
+ margin-bottom:0px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+H3 {
+ text-align:justify;
+ margin-bottom:8px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+UL {
+list-style-type:disc;
+ text-align:left;
+ margin-bottom:0px;
+ margin-top:0px;
+ margin-right:0px;
+ text-indent:0px;
+ direction:ltr
+}
+LI {
+ list-style-type:disc;
+ text-align:justify;
+ margin-bottom:4px;
+ margin-top:0px;
+ margin-right:0px;
+ margin-left:60px;
+ text-indent:-23px;
+ direction:ltr
+}
+DT {
+ text-align:justify;
+ margin-bottom:4px;
+ margin-top:0px;
+ margin-right:0px;
+ margin-left:60px;
+ text-indent:-23px;
+ direction:ltr
+}
+DD {
+ text-align:justify;
+ margin-bottom:4px;
+ margin-top:0px;
+ margin-right:0px;
+ margin-left:60px;
+ text-indent:-23px;
+ direction:ltr
+}
+</STYLE>
+<META
+ name="dc.creator"
+ content="Thomas" >
+<META
+ name="dc.title"
+ content="main.book" >
+<META
+ name="dc.date"
+ content="2004-03-11T13:50:04Z" >
+<META
+ name="dc.date.modified"
+ content="2004-03-11T13:55:27Z" >
+<META
+ name="generator"
+ content="Adobe Acrobat Exchange-Pro 8.258" >
+</HEAD>
+<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
+<HR>
+<UL>
+<LI>
+<A href="#LinkTarget_2857">REFERENCE MODEL</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2857">The openEHR EHR Service Model</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2928">1 Introduction</A>
+<UL>
+<LI>
+<A href="#LinkTarget_2930">1.1 Purpose</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2952">1.2 Related Documents</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2968">1.3 Status</A>
+</LI>
+<LI>
+<A href="#LinkTarget_2988">1.4 Peer review</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3011">1.5 Document Structure</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3015">2 Background</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3018">2.1 Requirements</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3067">2.2 Design Experience</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3070">2.2.1 Australian GEHR GPCG Project Experience</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3094">2.2.2 DSTC GEHR Demonstrator</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3117">2.2.3 Prodigy Decision Support System and the vMR</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3121">2.3 EHR Service Interface Standards</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3127">3 Requirements</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3129">3.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3153">3.2 Scenarios</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3182">4 Design Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3242">5 EHR Client API</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3244">5.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3247">5.2 Access</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3249">5.2.1 Secure Login</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3250">5.2.2 Access Control</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3251">5.2.3 Session Management</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3252">5.3 Data Retrieval</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3257">5.3.1 EHR Retrieval</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3258">5.3.2 EHR Querying</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3260">5.4 Data Creation and Modification</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3262">5.4.1 Archetype Retrieval</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3263">5.4.2 Template Creation</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3264">5.4.3 EHR creation, Modification and Committal</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3266">5.5 Pseudonymisation</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3268">6 EHR Service API</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3270">6.1 Overview</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3271">6.2 Transactions</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3272">6.3 Contributions</A>
+</LI>
+</UL>
+</LI>
+<LI>
+<A href="#LinkTarget_3273">G References</A>
+<UL>
+<LI>
+<A href="#LinkTarget_3275">7.1 General</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3315">7.2 European Projects</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3356">7.3 CEN</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3364">7.4 GEHR Australia</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3378">7.5 HL7</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3382">7.6 OMG</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3385">7.7 Software Engineering</A>
+</LI>
+<LI>
+<A href="#LinkTarget_3391">7.8 Resources</A>
+</LI>
+</UL>
+</LI>
+</UL>
+</LI>
+</UL>
+</HR>
+<P>
+<SPAN style="color:#353538"
+>Rev 0.2 </SPAN
+></P>
+<IMG width=387 height=120 style="display:block; float:none" src="images/ehr_sm_img_0.png">
+<IMG width=143 height=88 style="display:block; float:none; text-align:left; margin-bottom:34px" src="images/ehr_sm_img_1.png">
+<P ID="LinkTarget_2857" style="margin-bottom:8px; line-height:32px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>REFERENCE MODE</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>L 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-style:italic; font-weight:bold; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#806DA6"
+>EHR </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>Service Mode</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
+>l 
+</SPAN
+></P>
+<P style="margin-bottom:8px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-style:italic; color:#353538"
+>Authors:{T Beale, S Heard}</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:11pt; font-style:italic; color:#353538"
+><Sup>1 </Sup></SPAN
+></P>
+<P style="margin-bottom:224px; line-height:35px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Revision: </SPAN
+><A href="#LinkTarget_2901">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>0.</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>2 
+</SPAN
+></A>
+<A href="#LinkTarget_3421">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Pages: 2</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>3 
+</SPAN
+></A>
+</P>
+<P style="margin-bottom:47px">
+<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>1.</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>  Ocean Informatics Australia </SPAN
+></P>
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>© 2003 The </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR Foundation </SPAN
+></P>
+<DIV class="Part"
+><DIV class="Sect">
+<H2>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; color:#6A4F84"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; font-style:italic; color:#6A4F84"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; color:#6A4F84"
+>EHR foundation </SPAN
+></H2>
+<P style="margin-bottom:33px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>is an independent, non-profit community, facilitating the creation and sharing of health records by consumers and clinicians via open-source, standards-based implementations. </SPAN
+></P>
+<TABLE>
+<TR>
+<TH style="width:94px; height:14px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
+>Founding </SPAN
+></TH>
+<TD style="width:399px; height:14px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
+>David Ingram, Professor of Health Informatics, CHIME, University </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:94px; height:21px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
+>Chairman </SPAN
+></TH>
+<TD style="width:399px; height:21px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
+>College London </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:94px; height:21px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
+>Founding </SPAN
+></TH>
+<TD style="vertical-align:middle; width:399px; height:21px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
+>Dr P Schloeffel, Dr S Heard, Dr D Kalra, D Lloyd, T Beale </SPAN
+></TD>
+</TR>
+<TR>
+<TH style="width:94px; height:20px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
+>Members </SPAN
+></TH>
+<TD style="width:399px; height:20px; background-color:#FAF9F7"/>
+</TR>
+<TR>
+<TH style="vertical-align:bottom; width:94px; height:18px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
+>Patrons </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:399px; height:18px; background-color:#FAF9F7">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
+>To Be Announced </SPAN
+></TD>
+</TR>
+</TABLE>
+<P style="margin-bottom:52px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>email</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>: info@openEHR.org </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>web</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>: http://www.openEHR.org </SPAN
+></P>
+</DIV>
+<P style="margin-bottom:15px">
+<SPAN style="color:#353538"
+>Authors:{T Beale, S Heard} Page 1 of 23 Date of Issue: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>25 Feb 2003 </SPAN
+></P>
+<DIV class="Sect">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>© 2003 The openEHR Foundation </SPAN
+></P>
+<P style="text-align:justify">
+<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
+>Amendment Record </SPAN
+></P>
+</DIV>
+<TABLE style="margin-bottom:14px">
+<TR>
+<TH style="text-align:center; vertical-align:middle; width:105px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>Issue </SPAN
+></TH>
+<TH style="vertical-align:middle; width:354px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>Details </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:87px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>Who </SPAN
+></TH>
+<TH style="text-align:center; vertical-align:middle; width:104px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>Date </SPAN
+></TH>
+</TR>
+<TR>
+<TD style="text-align:center; width:105px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>0.2 </SPAN
+></TD>
+<TD style="vertical-align:middle; width:354px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>Initial phase of rewrite based on various inputs including Prod</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>igy APIs, CEN HISA specifications etc. </SPAN
+></TD>
+<TD style="text-align:center; width:87px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; width:104px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>25 Feb 2003 </SPAN
+></TD>
+</TR>
+<TR>
+<TD style="text-align:center; vertical-align:middle; width:105px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>0.1 </SPAN
+></TD>
+<TD style="vertical-align:middle; width:354px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>Initial Writing </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:middle; width:87px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>T Beale </SPAN
+></TD>
+<TD style="text-align:center; vertical-align:middle; width:104px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
+>8 Jan 2003 </SPAN
+></TD>
+</TR>
+</TABLE>
+<DIV class="Sect">
+<DIV class="Sect">
+<H4>
+<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
+>Acknowledgements </SPAN
+></H4>
+<P style="text-align:justify; margin-bottom:8px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Thanks to... </SPAN
+></P>
+</DIV>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>versity College, London. </SPAN
+></P>
+<DIV class="Sect">
+<P style="margin-bottom:0px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
+>Items To Be Determined </SPAN
+></P>
+</DIV>
+<P style="margin-bottom:0px">
+<A href="#LinkTarget_2991">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>TBD_1:(example To Be Determined paragraph) ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>7 
+</SPAN
+></A>
+</P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_2928" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>Introduction </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2930">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>1.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Purpose </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>This document describes the </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR EHR Service Model, which defines both the application pro</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>grammer interface (API) to the EHR for applications developers, and the interface for other services. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The intended audience includes: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Standards bodies producing health informatics standards </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Software development groups using </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Academic groups using </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR </SPAN
+></LI>
+<LI style="margin-bottom:21px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The open source healthcare community </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2952">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>1.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Related Documents </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Prerequisite documents for reading this document include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR Roadmap </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR Data Types Reference Model </SPAN
+></LI>
+<LI style="margin-bottom:21px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The other </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR Reference Models </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2968">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>1.3 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Status </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>This document is under development, and will be published as a proposal for input to standards proc</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>esses and implementation works. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Future changes will include: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Currently the UML diagrams are hand-produced. In the next version, the Rational Rose rep</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>resentation will replace these. </SPAN
+></LI>
+<LI style="margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Specific design principles will be referred to throughout the model text, so that readers can easily find the theoretical discussion on which any part of the model is based. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The latest version of this document can be found in PDF and HTML formats at </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.openEHR.org/Doc_html/Model/Reference/ehr_svc.htm">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>http://www.openEHR.org/Doc_html/Model/Reference/ehr_svc.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. New versions are announced on </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>openehr-announce@openehr.org</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_2988">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>1.4 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Peer review </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Known omissions or questions are indicated in the text with a “to be determined” paragraph, as fol</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>lows: </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; font-style:italic; color:#6A4F84"
+>TBD_1</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; font-style:italic; color:#6A4F84"
+>: </SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#6A4F84"
+>(example To Be Determined paragraph</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#6A4F84"
+>) 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>To Be Continued: more work require</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>d 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>tent. Please send requests for information to </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="mailto:info@gehr.org">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>info@openEHR.org</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Feedback should preferably be </SPAN
+></P>
+<TABLE style="margin-bottom:0px">
+<TR>
+<TH colspan=2 style="width:363px; height:32px; background-color:#FAF9F7">
+<SPAN style="color:#353538"
+>Introduction </SPAN
+><SPAN style="color:#353538"
+>Rev 0.2 </SPAN
+></TH>
+<TH style="width:285px; height:32px; background-color:#FAF9F7">
+<SPAN style="color:#353538"
+>The openEHR EHR Service Model </SPAN
+></TH>
+</TR>
+<TR>
+<TH colspan=2 style="vertical-align:middle; width:363px; height:59px; background-color:#FAF9F7">
+<A href="mailto:openehr-clinical@openehr.org">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>discussed on one of the appropriate mailing lists, </SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>openehr-clinical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></A>
+</TH>
+<TD style="width:285px; height:59px; background-color:#FAF9F7">
+<A href="mailto:openehr-technical@openehr.org">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>openehr-technical@openehr.org</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+> or </SPAN
+></A>
+</TD>
+</TR>
+<TR>
+<TH ID="LinkTarget_3011" style="vertical-align:bottom; width:51px; height:29px; background-color:#FAF9F7">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>1.5 </SPAN
+></TH>
+<TD style="vertical-align:bottom; width:312px; height:29px; background-color:#FAF9F7">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Document Structure </SPAN
+></TD>
+<TD style="text-align:center; width:285px; height:29px; background-color:#FAF9F7"/>
+</TR>
+</TABLE>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_3015" style="text-align:justify; margin-bottom:15px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>Background </SPAN
+></H2>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>This section describes the inputs to the modelling process which created the </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR Reference Model. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3018">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>2.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Requirements </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>There are various sets of requirements which inform this model, which may be categorised as fol</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>lows: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>archetype retrieval and template creation </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR creation, modification and committal </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR retrieval </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR querying </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Secure login and access control </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Session management </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Pseudonymisation - de-identification </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>To Be Continued</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>: 
+</SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Requirements relate to the following categories of users: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>primary users, i.e. clinical carers or the patient themselves. The mode of access is “single EHR per session”; </SPAN
+></LI>
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>secondary users, i.e. users who interrogate populations of EHRs to find trends or generate lists of patients. These users may be inside and HCF, and determining lists of patients for recalls or other kinds of contacts, or they may be external researchers who are only allowed de-identified access. The mode of access here is “multiple EHRs per session”; </SPAN
+></LI>
+<LI style="margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>software agents and applications, such as decision support systems, recall managers, research applications. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3067">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>2.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Design Experience </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>A number of projects contributed to the design approach used here, as documented in the following sections. </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3070" style="margin-bottom:0px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>2.2.1 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Australian GEHR GPCG Project Experience </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The Australian Good Electronic Health Record (GEHR) project (2000 - mid 2001; see </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.gehr.org">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>http://www.gehr.org</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>) funded by the Royal Australian College of GPs (RACGP) General Prac</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>tice Computing Group (GPCG) was the first project in which an archetype-based EHR server was built. The back-end included an EHR server, an archetype server, an archetype initialiser, a demo</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>graphic server, and a simple text-file terminology server. These were all built in Eiffel with Java being used in the Archetype Initialiser. The front end consisted of a VB6 application which created and retrieved EHRs, using archetypes actively. The “kernel” - the core part of the EHR server was the first implementation of an “archetype inference engine”, i.e. a component whose job is to use archetypes (knowledge artifacts) to create and validate information. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>This project led to an interface being built to each server, including the EHR and archetype servers. This interface allowed the creation, modification, and retrieval of EHRs, Transactions and smaller parts of the EHR. The API developed during this experience provided a valuable insight into what the </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>interface to the EHR of the future might look like, and in particular influenced the following areas of the service model defined in this document: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="text-align:left; margin-bottom:0px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>archetype server interface; </SPAN
+></LI>
+<LI style="text-align:left; margin-left:60px; line-height:22px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR modification interface, includin</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>g 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>archetype retrieval &amp; template building</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>; 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>-</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>session contro</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>l 
+</SPAN
+></LI>
+<LI style="text-align:left; margin-bottom:15px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>the application view of the EHR server. </SPAN
+></LI>
+</ul>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3094" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>2.2.2 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>DSTC GEHR Demonstrator </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The DSTC Titanium group developed a multi-node virtual EHR system, in which EHRs for a given patient could exist on any number of servers. The client application was capable of viewing the vir</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>tual EHR, using filtering and basic security. In this case, XML and Java technology were used. The DSTC also developed the archetype editor used by both the GPCG Eiffel-based project and the DSTC demonstrator. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The demonstrator has provided experience in the following aspects of an EHR system interface: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="text-align:left; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>retrieval of the virtual EHR from numerous physical nodes; </SPAN
+></LI>
+<LI style="text-align:left; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>querying; </SPAN
+></LI>
+<LI style="text-align:left; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>filtering; </SPAN
+></LI>
+<LI style="text-align:left; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>secure login and access control; </SPAN
+></LI>
+<LI style="text-align:left; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>multiple simultaneous users. </SPAN
+></LI>
+</ul>
+<P style="text-align:left; margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>To Be Continued</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>: 
+</SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3117" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>2.2.3 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Prodigy Decision Support System and the vMR </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>To Be Continued</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>: 
+</SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3121" style="text-align:left">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>2.3 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>EHR Service Interface Standards </SPAN
+></H3>
+<P style="text-align:left; margin-bottom:0px; margin-left:192px; text-indent:-191px; line-height:19px">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>To Be Continued</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>: 	</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>relationship to OMG COAS / orders models shoul</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>d 
+</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>be described </SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
+>. 
+</SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_3127" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>Requirements </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3129">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>3.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<A href="#LinkTarget_3133">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>FIGURE 1 illustrates a typical community shared care context. There are two places health record </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>systems might be used: at the community level, that is, inter-provider, and within providers. The first kind of a record -a shared care record (longitudinal, comprehensive, patient-centred) -is classified by ISO (TS 18308) as an “EHR”, or Electronic Health Record. Some providers also have intra-provider records (episodic, institution-centred) which are usually known as EMRs (Electronic Medical Records) or EPRs (Electronic Patient Records). Others need to connect directly with the EHR. Within larger health system contexts -provinces and nations - there may also be so-called “summary health records”, or “health summaries”. The figure shows the shared care EHR as if it is located within a geographical community, but this need not be so: mobile patients such as health workers, entertainers, athletes and the military may well be represented in the same kind of system (from an IT point of view), where the contributing providers are located all over the world. Essentially, the only difference between the two is the network deployment. </SPAN
+></P>
+<IMG width=523 height=344 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/ehr_sm_img_2.png">
+<P style="margin-bottom:15px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>FIGURE  1 </SPAN
+><SPAN style="font-size:12pt; color:#353538"
+>Community Shared Care Context </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Health record systems built according to </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>open</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR and related specifications could be used in any of these three locations; the health record at each level will then be in exactly the same technology and logical data format, and differ only in content, for example as follows. </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EPR/EMR: contents reflect only certain episodes, and possibly particular medical special</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ties, but in the greatest level of detail (outside of dedicated imaging and other monitoring systems). </SPAN
+></LI>
+<LI style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR: contents reflect all episodes in all providers in the community, and all medical spe</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>cialties, but may be somewhat summarised, with certain intermediate details of care during certain episodes not included or greatly summarised. The EHR needed by all providers in </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:6.9pt; color:#353538"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Health Summary: contents probably include only core information that is needed for acci</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>dent/emergency care admissions, such as basic data (blood type, age, sex), major problems, therapeutic precautions (allergies, cultural preferences) and so on. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Care events that happen while a patient is out of his or her usual context (on holiday, at a conference) will most likely initially be recorded in an EMR system not connected to the health information envi</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ronment containing the principal instance of the patient’s EHR. To perform the care, the provider in question will need to be able to obtain an extract from the patient’s primary EHR; for the latter to be kept up to date, an extract will need to be sent back containing details of the foreign care event. Such interactions are mediated by a Health Information Location service (of the kind defined by the OMG HILS specification for example). </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Of the three kinds of record system, the first two - the EMR and EHR - are care-oriented, and will have user software applications accessing and writing to them. Summary EHR systems will most likely have write access due to uploading of EHR Extracts, and read access. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3153">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>3.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Scenarios </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The system interfaces covered by this specification include the following: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="margin-right:176px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>user (client) to EHR or EMR server (real-time read/write per patient record) </SPAN
+></LI>
+<LI style="margin-right:176px; margin-left:60px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>query interface to EHR or EMR (real-time or batched access to multiple records, including pseudonymisation capability) </SPAN
+></LI>
+<LI style="margin-right:176px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EMR server to EHR server (publishing with summarisation) </SPAN
+></LI>
+<LI style="margin-right:176px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR server to Summary server (publishing with summarisation) </SPAN
+></LI>
+<LI style="margin-right:176px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EHR to EHR Server (synchronisation or move of patient record) </SPAN
+></LI>
+<LI style="margin-bottom:8px; margin-right:176px; margin-left:60px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>EMR or EHR to HILS (publishing) </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>This specification describes formal, functional interfaces between systems which correspond to these scenarios. </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_3182" style="text-align:justify; margin-bottom:15px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>Design Overview </SPAN
+></H2>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Although this specification does not seek to describe particular architectures, it is worth considering </SPAN
+><A href="#LinkTarget_3193">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>some generic architectural aspects as a way of understand the interfaces that follow. FIGURE 2 shows </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>some aspects of a 4-tier architecture, fairly typical in large systems today. </SPAN
+></P>
+<TABLE style="margin-bottom:15px">
+<TR>
+<TH style="vertical-align:middle; width:102px; height:31px; background-color:#C9D3D7; border-style:solid; border-color:#000000; border-width:1px 1px 2px 1px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
+>Presentation </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:102px; height:31px; background-color:#9AA6AB; border-style:solid; border-color:#000000; border-width:2px 1px 1px 1px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
+>Application </SPAN
+></TH>
+</TR>
+<TR>
+<TH style="vertical-align:middle; width:102px; height:31px; background-color:#6A4F84; border-style:solid; border-color:#000000; border-width:1px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
+>EHR Client </SPAN
+></TH>
+</TR>
+</TABLE>
+<IMG width=631 height=476 style="display:block; float:none; text-align:center; margin-bottom:9px" src="images/ehr_sm_img_3.png">
+<P style="margin-bottom:15px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>FIGURE 2  </SPAN
+><SPAN style="font-size:12pt; color:#353538"
+>Generic EHR System Architecture </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:8px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The tiers are: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>presentation (light grey ‘presentation’ box); </SPAN
+></LI>
+<LI>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>application logic (dark grey ‘application’ boxes); </SPAN
+></LI>
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>enterprise services (where ‘enterprise’ means ‘data manager’): EHR, identity, demograph</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ics, knowledge management, security and others; </SPAN
+></LI>
+<LI style="margin-bottom:8px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>persistence. </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:8px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>In such architectures the last two layers are usually colocated in a secure health information environ</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ment. The following possibilities exist for application users: </SPAN
+></P>
+<ul style="list-style-type:disc">
+<LI style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>local users have both application and presentation layers within the same secure environ</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ment as the services; </SPAN
+></LI>
+<LI style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>some remote users (“thick clients”) will have both application and presentation layers on their own computer; </SPAN
+></LI>
+</ul>
+<P style="text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:6.9pt; color:#353538"
+>• 	</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>some remote users (“thin clients”) will have presentation layer only on their own computer, with “their” application residing in the server environment. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:37px; line-height:19px">
+<A href="#LinkTarget_3193">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>The blue “EHR Client” boxes in FIGURE 2 provide the interface between applications and the back </SPAN
+></A>
+<A href="#LinkTarget_3240">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>end services. Using the more precise illustration in FIGURE 3, the interfaces which concern us here </SPAN
+></A>
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>are those exposed by the EHR Client component to an application, and those exposed by the EHR service (both interfaces shown in magenta). The following sections describe these in detail. </SPAN
+></P>
+<P style="text-align:left; margin-bottom:15px; margin-left:14px; line-height:18px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>EHR client API </SPAN
+></P>
+<DIV class="Sect">
+<H4 style="text-align:left; margin-bottom:-17px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
+>Compositions </SPAN
+></H4>
+<P style="margin-bottom:15px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
+>Contributions / Transactions </SPAN
+></P>
+<P style="margin-right:455px; line-height:18px">
+<SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>EH</SPAN
+><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>R 
+</SPAN
+><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>Servic</SPAN
+><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>e 
+</SPAN
+><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>Client AP</SPAN
+><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
+>I 
+</SPAN
+></P>
+<IMG width=471 height=205 style="display:block; float:none; text-align:center; margin-bottom:20px; margin-left:73px" src="images/ehr_sm_img_4.png">
+<IMG width=112 height=79 style="display:block; float:none; margin-bottom:20px" src="images/ehr_sm_img_5.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>FIGURE  3 </SPAN
+><SPAN style="font-size:12pt; color:#353538"
+>EHR Client and Service APIs </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_3242" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>EHR Client API </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3244">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>5.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Overview </SPAN
+></H3>
+<P style="text-align:justify; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Because the EHR Client is where information is integrated from distinct back-end services such as EHR, identity, demographics, and security, the EHR Client API reflects to some extent the APIs of not only the EHR service, but also these other services. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3247" style="margin-bottom:15px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>5.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Access </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3249" style="margin-bottom:15px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.2.1 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Secure Login </SPAN
+></H3>
+<P ID="LinkTarget_3250" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.2.2 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Access Control </SPAN
+></P>
+<P ID="LinkTarget_3251" style="text-align:justify">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.2.3 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Session Management </SPAN
+></P>
+<P ID="LinkTarget_3252" style="text-align:justify; margin-bottom:90px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>5.3 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Data Retrieval </SPAN
+></P>
+<IMG width=591 height=281 style="display:block; float:none; text-align:center; margin-bottom:169px" src="images/ehr_sm_img_6.png">
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>FIGURE </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>4  
+</SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3257" style="margin-bottom:15px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.3.1 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>EHR Retrieval </SPAN
+></H3>
+<P ID="LinkTarget_3258" style="text-align:justify">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.3.2 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>EHR Querying </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3260" style="margin-bottom:15px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>5.4 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Data Creation and Modification </SPAN
+></H3>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3262" style="margin-bottom:15px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.4.1 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Archetype Retrieval </SPAN
+></H3>
+<P ID="LinkTarget_3263" style="text-align:justify; margin-bottom:15px">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.4.2 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>Template Creation </SPAN
+></P>
+<P ID="LinkTarget_3264" style="text-align:justify">
+<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>5.4.3 </SPAN
+><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
+>EHR creation, Modification and Committal </SPAN
+></P>
+</DIV>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3266" style="margin-bottom:0px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>5.5 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Pseudonymisation </SPAN
+></H3>
+</DIV>
+</DIV>
+<DIV class="Part"
+><H2 ID="LinkTarget_3268" style="text-align:justify; margin-bottom:25px; margin-left:72px">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>EHR Service API </SPAN
+></H2>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3270" style="margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>6.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Overview </SPAN
+></H3>
+<P ID="LinkTarget_3271" style="text-align:; margin-right:9px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>6.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Transactions </SPAN
+></P>
+<P ID="LinkTarget_3272" style="margin-bottom:0px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>6.3 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Contributions </SPAN
+></P>
+<P ID="LinkTarget_3273" style="text-align:justify">
+<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
+>G References </SPAN
+></P>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3275" style="margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.1 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>General </SPAN
+></H3>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>ht</SPAN
+><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+></SPAN
+></A>
+<A href="http://www.ietf.org/rfc/rfc2396.txt">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>tp://www.ietf.org/rfc/rfc2396.txt</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. This is a  World-Wide Web  RFC  for  global identifi</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>cation  of resources. In current use on the web, e.g. by Mosaic, Netscape and similar tools. See </SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.w3.org/Addressing">
+<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
+>http://www.w3.org/Addressing</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+> for a starting point on URIs. </SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Beale T. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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', serif; font-size:12pt; color:#6A4F84"
+>http://www.deepthought.com.au/it/archetypes.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Beale T </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>et al</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Design Principles for the EHR</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>http://www.deepthought.com.au/openEHR</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Gray J, Reuter A. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Transaction Processing Concepts and Techniques</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Morgan Kaufmann 1993</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Rector A L, Nowlan W A, Kay S. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Foundations for an Electronic Medical Record</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. The IMI</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>A 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Yearbook of Medical Informatics 1992 (Eds. van Bemmel J, McRay A). Stuttgart Schattauer 1994</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Rossi-Mori A, Consorti F. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Assembling clinical information</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Note sent to HL7 discussion list</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>, 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>2001-04-19</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Sowa J F. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Knowledge Representation: Logical, philosophical and Computational Founda</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>tions</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 2000, Brooks/Cole, California. </SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Schadow G, McDonald C J. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>The Unified Code for Units of Measure</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>, Version 1.4, April 27</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>, 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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', serif; font-size:12pt; color:#6A4F84"
+>http://aurora.rg.iupui.edu/UCU</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>M 
+</SPAN
+></A>
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Schloeffel P. (Editor). Requirements for an Electronic Health Record Reference Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>International Standards Organisation, Australia; Feb 2002; ISO TC 215/SC N; ISO/WD 18308</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>formation system. Toward an Electronic Health Record Europe 1999. Nov 1999; 259-266</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3315" style="margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.2 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>European Projects </SPAN
+></H3>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Dixon R., Grubb P.A., Lloyd D., and Kalra D. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Consolidated List of Requirements. EHCR Sup</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>port Action Deliverable 1.4</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Dixon R, Grubb P, Lloyd D</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>. EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+></SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+<P style="text-align:justify; margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Dixon R, Grubb P, Lloyd D. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>EHCR Support Action Deliverable 2.4 &quot;Guidelines on Interpre</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+></SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>tation and implementation of CEN EHCRA&quot;</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>ht</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+></SPAN
+></A>
+<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>tp://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Ingram D. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>The Good European Health Record Project</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Laires, Laderia Christensen, Eds</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>H</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>ealth in the New Communications Age. Amsterdam: IOS Press; 1995; pp. 66-74</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Lloyd D, et al</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>. EHCR Support Action Deliverable 3.1&amp;3.2 “Interim Report to CEN”</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Jul</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>y 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>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', serif; font-size:12pt; color:#6A4F84"
+>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Deliverable 4: GEHR Requirements for Clinical Comprehensiveness. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>GEHR Project 199</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>2 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Deliverable 7: Clinical Functional Specifications. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>GEHR Project 199</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>3 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Deliverable 8: Ethical and legal Requirements of GEHR Architecture and Systems. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>GEH</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>R 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Project 199</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>4 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Deliverable 19,20,24: GEHR Architecture. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>GEHR Project 30/6/199</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>5 
+</SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Grimson W. and Groth T. (Editors). The Synapses User Requirements and Functional Speci</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>fication (Part B). EU Telematics Application Programme, Brussels; 1996; The Synapses Project: De</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>liverable USER 1.1.1b. </SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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="margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Kalra D. (Editor). Synapses ODP Information Viewpoint. EU Telematics Application Pro</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>gramme, Brussels; 1998; The Synapses Project: Final Deliverable. 10 chapters, 64 pages. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3356" style="margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.3 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>CEN </SPAN
+></H3>
+<P style="text-align:justify; margin-left:145px; text-indent:-144px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:ENV 13606-1</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="text-align:justify; margin-left:165px; text-indent:-164px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:ENV 13606-2 -</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Electronic healthcare record communication - Part 2: Domain term list</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:ENV 13606-3 -</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Electronic healthcare record communication - Part 3: Distribution rules</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>CEN/ TC 251 Health Informatics Technical Committee</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="margin-bottom:0px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:ENV 13606-4 -</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3364" style="margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.4 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>GEHR Australia </SPAN
+></H3>
+<P style="text-align:justify; margin-left:255px; text-indent:-201px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>GEHR Project Australia, GPCG Trial</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>http://www.ge</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+></SPAN
+></A>
+<A href="http://www.gehr.org/gpcg/ehra.htm">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>hr.org/gpcg/ehra.htm</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+<P style="margin-bottom:0px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Beale T, Heard S. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>GEHR Technical Requirements</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 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', serif; font-size:12pt; color:#6A4F84"
+>http://www.gehr.org/technical/require</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+></SPAN
+></A>
+</SPAN
+></P>
+<P style="margin-bottom:0px; line-height:19px">
+<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', serif; font-size:12pt; color:#6A4F84"
+>ments/gehr_requirements.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3378" style="text-align:left; margin-bottom:25px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.5 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>HL7 </SPAN
+></H3>
+<P style="line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Schadow G, Russler D, Mead C, Case J, McDonald C. HL7 version 3 deliverable: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>The Unified Service Action Model : Documentation for the clinical area of the HL7 Reference Information Model</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. (Revision 2.4+). </SPAN
+></P>
+<P style="text-align:; margin-bottom:21px; line-height:19px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Schadow G, Biron P. HL7 version 3 deliverable: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Version 3 Data Types</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. (DRAFT Revision 1.0). </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3382" style="text-align:left">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.6 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>OMG </SPAN
+></H3>
+<P style="text-align:; margin-bottom:21px; margin-right:182px; margin-left:60px; text-indent:26px; line-height:38px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Person Identification Service</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. (March 1999). (Authors?) Doc No:CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Clinical Observations Access Service</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. (Jan 2000) 3M, Care Data Systems, CareFlow/Net, HBO &amp; C, LANL, and others. Doc No:CORBAmed document: </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Lexicon Query Service</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. (March 1999) (Authors?) </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3385" style="text-align:left">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.7 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Software Engineering </SPAN
+></H3>
+<P style="text-align:; margin-bottom:0px; margin-right:229px; margin-left:95px; text-indent:63px; line-height:35px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Meyer B. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Object-oriented Software Construction</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>, 2nd Ed. Prentice Hall 1997 Doc No:Walden K, Nerson J. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Seamless Object-oriented Software Architecture</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Prentice Hall 1994 Doc No:Gamma E, Helm R, Johnson R, Vlissides J. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Design patterns of Reusable Object-oriented Soft</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+></SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>ware </SPAN
+></P>
+<P style="text-align:left; margin-bottom:0px; margin-left:48px; line-height:35px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Addison-Wesley 1995 </SPAN
+></P>
+<P style="text-align:; margin-bottom:21px; margin-right:221px; margin-left:109px; text-indent:72px; line-height:35px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:Fowler M. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>Analysis Patterns: Reusable Object Models </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Addison Wesley 1997 Doc No:Fowler M, Scott K. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>UML Distilled (2nd Ed.) </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Addison Wesley Longman 2000 Doc No:Booch G, Rumbaugh J, Jacobsen I. </SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
+>The Unified Modelling Language User Guide</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. Addison esley 1999. </SPAN
+></P>
+</DIV>
+<DIV class="Sect">
+<H3 ID="LinkTarget_3391" style="text-align:left; margin-bottom:0px">
+<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>7.8 </SPAN
+><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
+>Resources </SPAN
+></H3>
+<P style="margin-bottom:-23px; margin-left:14px; line-height:43px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://www.cpmc.columbia.edu/arden</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>/ 
+</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://smi-web.stanford.edu/projects/asgaard</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>/ 
+</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://medical.nema.org/di</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+></SPAN
+></A>
+</SPAN
+></P>
+<P style="margin-bottom:0px; line-height:43px">
+<SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://medical.nema.org/dicom.html">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>com.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:EON ref require</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>d 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://www.glif.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No:IANA -</SPAN
+><SPAN style=" font-weight:normal; text-decoration:underline"
+><A href="http://www.iana.org/">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
+>http://www.iana.org/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://www.acl.icnet.uk/lab/proforma.html</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>Doc No: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', serif; font-size:12pt; color:#6A4F84"
+>http://www.chime.ucl.ac.uk/HealthI/SynEx/</SPAN
+></A>
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
+>. 
+</SPAN
+></P>
+<P style="margin-bottom:33px">
+<SPAN style="color:#353538"
+>Rev 0.2 </SPAN
+></P>
+<P style="margin-bottom:608px">
+<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>END OF DOCUMEN</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
+>T 
+</SPAN
+></P>
+<P style="margin-bottom:15px">
+<SPAN style="color:#353538"
+>Authors:{T Beale, S Heard} Page 23 of 23 Date of Issue:</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+> 25 Feb 2003 </SPAN
+></P>
+<P style="margin-bottom:0px; line-height:14px">
+<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>© 2003 The openEHR Foundatio</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>n 
+</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>email: info@openEHR.org web: http://www.openEHR.or</SPAN
+><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
+>g 
+</SPAN
+></P>
+</DIV>
+</DIV>
+</DIV>
+</BODY>
+</HTML>
