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Last change on this file since 77 was 77, checked in by KOBAYASHI, Shinji, 16 years ago
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159	<META
160	name="dc.creator"
161	content="Thomas" >
162	<META
163	name="dc.title"
164	content="main.book" >
165	<META
166	name="dc.date"
167	content="2007-03-12T16:18:41Z" >
168	<META
169	name="dc.date.modified"
170	content="2007-03-12T16:18:41Z" >
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174	</HEAD>
175	<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
176	<HR>
177	<UL>
178	<LI>
179	<A href="#LinkTarget_2243">Copyright Notice</A>
180	</LI>
181	<LI>
182	<A href="#LinkTarget_2290">Amendment Record</A>
183	</LI>
184	<LI>
185	<A href="#LinkTarget_2324">Acknowledgements</A>
186	</LI>
187	<LI>
188	<A href="#LinkTarget_2355">Table of Contents</A>
189	</LI>
190	<LI>
191	<A href="#LinkTarget_2438">1 Introduction</A>
192	<UL>
193	<LI>
194	<A href="#LinkTarget_2440">1.1 Purpose</A>
195	</LI>
196	<LI>
197	<A href="#LinkTarget_2463">1.2 Related Documents</A>
198	</LI>
199	<LI>
200	<A href="#LinkTarget_2473">1.3 Status</A>
201	</LI>
202	<LI>
203	<A href="#LinkTarget_2484">1.4 Peer review</A>
204	</LI>
205	<LI>
206	<A href="#LinkTarget_2492">1.5 Conformance</A>
207	</LI>
208	</UL>
209	</LI>
210	<LI>
211	<A href="#LinkTarget_2521">2 Integration Package</A>
212	<UL>
213	<LI>
214	<A href="#LinkTarget_2523">2.1 Requirements</A>
215	</LI>
216	<LI>
217	<A href="#LinkTarget_2532">2.2 Design Basis</A>
218	<UL>
219	<LI>
220	<A href="#LinkTarget_2534">2.2.1 Overview</A>
221	</LI>
222	<LI>
223	<A href="#LinkTarget_2576">2.2.2 Semantics of GENERIC_ENTRY</A>
224	</LI>
225	<LI>
226	<A href="#LinkTarget_2599">2.2.3 Use with openEHR Extracts</A>
227	</LI>
228	<LI>
229	<A href="#LinkTarget_2603">2.2.4 Integration with CEN EN13606</A>
230	</LI>
231	</UL>
232	</LI>
233	<LI>
234	<A href="#LinkTarget_2608">2.3 Data Conversion Architecture</A>
235	</LI>
236	<LI>
237	<A href="#LinkTarget_2636">2.4 Class Descriptions</A>
238	<UL>
239	<LI>
240	<A href="#LinkTarget_2638">2.4.1 GENERIC_ENTRY Class</A>
241	</LI>
242	</UL>
243	</LI>
244	</UL>
245	</LI>
246	<LI>
247	<A href="#LinkTarget_2676">A References</A>
248	<UL>
249	<LI>
250	<A href="#LinkTarget_2679">A.1 Standards</A>
251	</LI>
252	</UL>
253	</LI>
254	</UL>
255	</HR>
256	<IMG width=144 height=127 style="display:block; float:none" src="images/integration_im_img_0.png">
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258	<TABLE>
259	<TR>
260	<TH style="vertical-align:top; width:117px; height:30px; border-style: solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
261	<TH colspan=2 style="width:284px; height:30px; border-style: solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px">
262	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
263	>Editors: </SPAN
264	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
265	>T Beale</SPAN
266	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.6pt; font-weight:normal; color:#000000"
267	>a </SPAN
268	></TH>
269	</TR>
270	<TR>
271	<TD style="width:117px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
272	<A href="#LinkTarget_2303">
273	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
274	>Revision: </SPAN
275	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
276	>0.6 </SPAN
277	></A>
278	</TD>
279	<TD style="width:89px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
280	<SPAN>
281	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
282	>Pages: </SPAN
283	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
284	>15 </SPAN
285	></SPAN>
286	</TD>
287	<TD style="width:194px; height:29px; border-style:solid; border-color:#000000; border-width:1px">
288	<A href="#LinkTarget_2307">
289	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
290	>Date of issue: </SPAN
291	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
292	>22 Jul 2006 </SPAN
293	></A>
294	</TD>
295	</TR>
296	</TABLE>
297	<P style="text-align:; margin-bottom:29px; margin-right:251px; margin-left:71px">
298	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
299	>a.</SPAN
300	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
301	> Ocean Informatics </SPAN
302	></P>
303	<P style="margin-bottom:39px">
304	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
305	>Keywords: </SPAN
306	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
307	>EHR, reference model, integration, EN13606, openehr </SPAN
308	></P>
309	<TABLE style="margin-bottom:119px">
310	<TR>
311	<TH colspan=4 style="text-align:center; width:245px; height:24px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:1px 6px 5px 1px">
312	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
313	>EHR Extract </SPAN
314	></TH>
315	<TH colspan=2 style="vertical-align:top; width:198px; height:24px; border-style:solid; border-color:#000000; border-width:1px 2px 5px 6px"/>
316	</TR>
317	<TR>
318	<TH style="text-align:center; width:42px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 7px 5px 1px">
319	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
320	>EHR </SPAN
321	></TH>
322	<TD colspan=2 style="width:102px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 5px 5px 7px">
323	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
324	>Demographic </SPAN
325	></TD>
326	<TD style="width:88px; height:23px; background-color:#00FFFF; border-style:solid; border-color:#000000; border-width:5px 6px 5px 5px">
327	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
328	>Integration </SPAN
329	></TD>
330	<TD colspan=2 style="width:198px; height:23px; background-color:#96FF52; border-style:solid; border-color:#000000; border-width:5px 2px 5px 6px">
331	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
332	>Template OM </SPAN
333	></TD>
334	</TR>
335	<TR>
336	<TH colspan=4 style="text-align:center; width:245px; height:23px; background-color:#00FFFF; border-style: solid solid none solid; border-color: #000000; border-width:5px 6px 1px 1px">
337	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
338	>Composition </SPAN
339	></TH>
340	<TD colspan=2 style="width:198px; height:23px; background-color:#C9FF5C; border-style: border-style:solid solid none solid; border-color: #000000; border-width:5px 2px 1px 6px">
341	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
342	>open</SPAN
343	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
344	>EHR Archetype Profile </SPAN
345	></TD>
346	</TR>
347	<TR>
348	<TH colspan=2 style="text-align:center; width:119px; height:23px; background-color:#B3FBE6; border-style: none solid none solid; border-color: #000000; border-width:1px 6px 1px 1px">
349	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
350	>Security </SPAN
351	></TH>
352	<TD colspan=2 style="width:120px; height:23px; background-color:#B3FBE6; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 6px 1px 6px">
353	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
354	>Common </SPAN
355	></TD>
356	<TD style="width:150px; height:23px; background-color:#C9FF5C; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 9px 1px 6px">
357	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
358	>Archetype OM </SPAN
359	></TD>
360	<TD style="width:39px; height:23px; border-style: border-style:none solid none solid; border-color: #000000; border-width:1px 2px 1px 9px">
361	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
362	>ADL </SPAN
363	></TD>
364	</TR>
365	<TR>
366	<TH colspan=6 style="text-align:center; width:449px; height:23px; background-color:#D6FBF9; border-style: none solid none solid; border-color: #000000; border-width:1px 2px 1px 1px">
367	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
368	>Data Structures </SPAN
369	></TH>
370	</TR>
371	<TR>
372	<TH colspan=6 style="text-align:center; vertical-align:top; width:449px; height:23px; background-color:#D6FBF9; border-style: none solid none solid; border-color: #000000; border-width:1px 2px 1px 1px">
373	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
374	>Data Types </SPAN
375	></TH>
376	</TR>
377	<TR>
378	<TH colspan=6 style="text-align:center; vertical-align:top; width:449px; height:24px; background-color:#D6FBF9; border-style: none solid solid solid; border-color: #000000; border-width:1px 2px 1px 1px">
379	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#ADADAD"
380	>Support </SPAN
381	></TH>
382	</TR>
383	</TABLE>
384	<DIV class="Part"
385	><H5>
386	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
387	>© 2003-2007 The </SPAN
388	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
389	>open</SPAN
390	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:10.9pt; color:#0000FF"
391	>EHR Foundation. </SPAN
392	></H5>
393	<P style="margin-bottom:20px; line-height:15px">
394	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
395	>The </SPAN
396	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
397	>open</SPAN
398	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
399	>EHR Foundation is an independent, non-profit community, facilitating the sharing of health records by consumers and clinicians via open-source, standards-based implementations. </SPAN
400	></P>
401	<TABLE style="margin-bottom:0px">
402	<TR>
403	<TH style="vertical-align:top; width:63px; height:14px">
404	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
405	>Founding </SPAN
406	></TH>
407	<TD style="vertical-align:top; width:392px; height:14px">
408	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
409	>David Ingram, Professor of Health Informatics, </SPAN
410	></TD>
411	</TR>
412	<TR>
413	<TH style="vertical-align:top; width:63px; height:20px">
414	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
415	>Chairman </SPAN
416	></TH>
417	<TD style="vertical-align:top; width:392px; height:20px">
418	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
419	>CHIME, University College London </SPAN
420	></TD>
421	</TR>
422	<TR>
423	<TH style="width:63px; height:20px">
424	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
425	>Founding </SPAN
426	></TH>
427	<TD style="width:392px; height:20px">
428	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
429	>Dr P Schloeffel, Dr S Heard, Dr D Kalra, D Lloyd, T Beale </SPAN
430	></TD>
431	</TR>
432	<TR>
433	<TH style="vertical-align:top; width:63px; height:18px">
434	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
435	>Members </SPAN
436	></TH>
437	<TD style="vertical-align:top; width:392px; height:18px"/>
438	</TR>
439	<TR>
440	<TH style="vertical-align:top; width:63px; height:21px"/>
441	<TD style="vertical-align:bottom; width:392px; height:21px">
442	<A href="http://www.openEHR.org">
443	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
444	>email</SPAN
445	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
446	>: info@openEHR.org </SPAN
447	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; color:#0000FF"
448	>web</SPAN
449	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#0000FF"
450	>: http://www.openEHR.org </SPAN
451	></A>
452	</TD>
453	</TR>
454	</TABLE>
455	<P style="margin-bottom:109px">
456	<A href="#LinkTarget_2181">
457	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
458	>Integration Information Model </SPAN
459	></A>
460	</P>
461	<P style="text-align:left; margin-bottom:15px">
462	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
463	>Rev </SPAN
464	><A href="#LinkTarget_2303">
465	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
466	>0.6 </SPAN
467	></A>
468	</P>
469	</DIV>
470	<DIV class="Part"
471	><H4 ID="LinkTarget_2243">
472	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
473	>Copyright Notice </SPAN
474	></H4>
475	<P style="text-align:left; margin-bottom:15px; margin-left:38px; line-height:16px">
476	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
477	>© Copyright openEHR Foundation 2001 - 200</SPAN
478	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
479	>7
480	</SPAN
481	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
482	>All Rights Reserve</SPAN
483	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
484	>d
485	</SPAN
486	></P>
487	<ol style="list-style-type:decimal">
488	<LI>
489	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
490	>This document is protected by copyright and/or database right throughout the world and is owned by the openEHR Foundation. </SPAN
491	></LI>
492	<LI>
493	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
494	>You may read and print the document for private, non-commercial use. </SPAN
495	></LI>
496	<LI>
497	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
498	>You may use this document (in whole or in part) for the purposes of making presentations and education, so long as such purposes are non-commercial and are designed to comment on, further the goals of, or inform third parties about, openEHR. </SPAN
499	></LI>
500	<LI>
501	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
502	>You must not alter, modify, add to or delete anything from the document you use (except as is permitted in paragraphs 2 and 3 above). </SPAN
503	></LI>
504	<LI>
505	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
506	>You shall, in any use of this document, include an acknowledgement in the form: "© Copyright openEHR Foundation 2001-2007. All rights reserved. www.openEHR.org" </SPAN
507	></LI>
508	<LI>
509	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
510	>This document is being provided as a service to the academic community and on a non-commercial basis. Accordingly, to the fullest extent permitted under applicable law, the openEHR Foundation accepts no liability and offers no warranties in relation to the materials and documentation and their content. </SPAN
511	></LI>
512	<LI style="margin-bottom:500px">
513	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
514	>If you wish to commercialise, license, sell, distribute, use or otherwise copy the materials and documents on this site other than as provided for in paragraphs 1 to 6 above, you must comply with the terms and conditions of the openEHR Free Commercial Use Licence, or enter into a separate written agreement with openEHR Foundation covering such activities. The terms and conditions of the openEHR Free Commercial Use Licence can be found at http://www.openehr.org/free_commercial_use.htm </SPAN
515	></LI>
516	</ol>
517	<P style="margin-bottom:15px; margin-left:566px; text-indent:-565px">
518	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
519	>Date of Issue:</SPAN
520	><A href="#LinkTarget_2307">
521	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
522	> 22 Jul 2006 </SPAN
523	></A>
524	<A href="#LinkTarget_2718">
525	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
526	>Page 2 of 1</SPAN
527	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
528	>5 </SPAN
529	></A>
530	<A href="#LinkTarget_2185">
531	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
532	>Editors:T Beale </SPAN
533	></A>
534	</P>
535	<P style="margin-bottom:0px; line-height:15px">
536	<A href="#LinkTarget_2290">
537	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
538	>© 2003-2007 The openEHR Foundation</SPAN
539	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
540	>.
541	</SPAN
542	></A>
543	<A href="#LinkTarget_2237">
544	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
545	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
546	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
547	>g
548	</SPAN
549	></A>
550	</P>
551	<P style="text-align:justify; margin-bottom:0px">
552	<A href="#LinkTarget_2181">
553	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
554	>Integration Information Model </SPAN
555	></A>
556	</P>
557	<P style="text-align:; margin-bottom:34px; margin-left:607px">
558	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
559	>Rev </SPAN
560	><A href="#LinkTarget_2303">
561	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
562	>0.6 </SPAN
563	></A>
564	</P>
565	<P ID="LinkTarget_2290" style="text-align:justify; margin-bottom:24px">
566	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
567	>Amendment Record </SPAN
568	></P>
569	<TABLE style="margin-bottom:15px">
570	<TR>
571	<TH style="text-align:center; width:105px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
572	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
573	>Issue </SPAN
574	></TH>
575	<TH style="text-align:right; width:354px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
576	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
577	>Details </SPAN
578	></TH>
579	<TH style="text-align:center; width:85px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
580	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
581	>Who </SPAN
582	></TH>
583	<TH style="text-align:center; width:104px; height:33px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
584	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
585	>Completed </SPAN
586	></TH>
587	</TR>
588	<TR>
589	<TD style="text-align:center; vertical-align:top; width:105px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:4px 1px 1px 1px"/>
590	<TD style="text-align:right; vertical-align:top; width:354px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px">
591	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#FFFFFF"
592	>R E L E A S E 1.0.1 </SPAN
593	></TD>
594	<TD style="text-align:center; vertical-align:top; width:85px; height:25px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
595	<TD style="text-align:center; vertical-align:top; width:104px; height:25px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:4px 1px 1px 1px"/>
596	</TR>
597	<TR>
598	<TD style="text-align:center; vertical-align:top; width:105px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
599	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
600	>0.6 </SPAN
601	></TD>
602	<TD style="text-align:right; width:354px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
603	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#000000"
604	>CR-000203</SPAN
605	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
606	>: Release 1.0 explanatory text improvements. Added section on </SPAN
607	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
608	>open</SPAN
609	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
610	>EHR Extract. Added integration archi</SPAN
611	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
612	></SPAN
613	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
614	>tecture diagram </SPAN
615	></TD>
616	<TD style="text-align:center; vertical-align:top; width:85px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
617	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
618	>T Beale </SPAN
619	></TD>
620	<TD style="text-align:center; vertical-align:top; width:104px; height:59px; border-style:solid; border-color:#000000; border-width:1px">
621	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
622	>22 Jul 2006 </SPAN
623	></TD>
624	</TR>
625	<TR>
626	<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
627	<TD style="text-align:right; width:354px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
628	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#FFFFFF"
629	>R E L E A S E 1.0 </SPAN
630	></TD>
631	<TD style="text-align:center; vertical-align:top; width:85px; height:27px; background-color:#9404FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
632	<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#9404FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
633	</TR>
634	<TR>
635	<TD style="text-align:center; width:105px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
636	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
637	>0.5 </SPAN
638	></TD>
639	<TD style="text-align:right; width:354px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
640	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
641	>Initial Writing </SPAN
642	></TD>
643	<TD style="text-align:center; width:85px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
644	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
645	>T Beale </SPAN
646	></TD>
647	<TD style="text-align:center; width:104px; height:27px; border-style:solid; border-color:#000000; border-width:1px">
648	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; font-weight:normal; color:#000000"
649	>15 Sep 2005 </SPAN
650	></TD>
651	</TR>
652	<TR>
653	<TD style="text-align:center; vertical-align:top; width:105px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid solid; border-color: #000000; border-width:1px 1px 1px 1px"/>
654	<TD style="text-align:right; width:354px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px">
655	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9.9pt; color:#FFFFFF"
656	>R E L E A S E 0.96 </SPAN
657	></TD>
658	<TD style="text-align:center; vertical-align:top; width:85px; height:27px; background-color:#0000FF; border-style: border-style:solid none solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
659	<TD style="text-align:center; vertical-align:top; width:104px; height:27px; background-color:#0000FF; border-style: border-style:solid solid solid none; border-color: #000000; border-width:1px 1px 1px 1px"/>
660	</TR>
661	</TABLE>
662	</DIV>
663	<DIV class="Part"
664	><H4 ID="LinkTarget_2324" style="text-align:justify; margin-bottom:0px; line-height:19px">
665	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
666	>Acknowledgements </SPAN
667	></H4>
668	<P style="text-align:justify; margin-bottom:633px; line-height:19px">
669	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
670	>The work reported in this paper has been funded by The University College, London and Ocean Informatics, Australia. </SPAN
671	></P>
672	<P style="margin-bottom:15px">
673	<A href="#LinkTarget_2185">
674	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
675	>Editors:T Beale </SPAN
676	></A>
677	<A href="#LinkTarget_2718">
678	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
679	>Page 3 of 15 </SPAN
680	></A>
681	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
682	>Date of Issue:</SPAN
683	><A href="#LinkTarget_2307">
684	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
685	> 22 Jul 2006 </SPAN
686	></A>
687	</P>
688	<P style="margin-bottom:0px; line-height:15px">
689	<A href="#LinkTarget_2219">
690	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
691	>© 2003-2007 The openEHR Foundation</SPAN
692	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
693	>.
694	</SPAN
695	></A>
696	<A href="#LinkTarget_2237">
697	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
698	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
699	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
700	>g
701	</SPAN
702	></A>
703	</P>
704	<P style="margin-bottom:487px">
705	<A href="#LinkTarget_2181">
706	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
707	>Integration Information Model </SPAN
708	></A>
709	</P>
710	<P style="margin-bottom:959px">
711	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
712	>Rev </SPAN
713	><A href="#LinkTarget_2303">
714	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
715	>0.6 </SPAN
716	></A>
717	</P>
718	<P style="margin-bottom:15px">
719	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
720	>Date of Issue:</SPAN
721	><A href="#LinkTarget_2307">
722	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
723	> 22 Jul 2006 </SPAN
724	></A>
725	<A href="#LinkTarget_2718">
726	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
727	>Page 4 of 15 </SPAN
728	></A>
729	<A href="#LinkTarget_2185">
730	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
731	>Editors:T Beale </SPAN
732	></A>
733	</P>
734	<P style="margin-bottom:0px; line-height:15px">
735	<A href="#LinkTarget_2290">
736	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
737	>© 2003-2007 The openEHR Foundation</SPAN
738	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
739	>.
740	</SPAN
741	></A>
742	<A href="#LinkTarget_2237">
743	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
744	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
745	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
746	>g
747	</SPAN
748	></A>
749	</P>
750	<P style="text-align:left; margin-bottom:0px">
751	<A href="#LinkTarget_2180">
752	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
753	>Integration Information Model </SPAN
754	></A>
755	</P>
756	<P style="margin-bottom:8px">
757	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
758	>Rev </SPAN
759	><A href="#LinkTarget_2303">
760	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
761	>0.6 </SPAN
762	></A>
763	</P>
764	</DIV>
765	<DIV class="Part"
766	><H4 ID="LinkTarget_2355" style="text-align:; margin-bottom:8px; margin-right:137px; margin-left:257px">
767	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
768	>Table of Contents </SPAN
769	></H4>
770	<P style="margin-bottom:0px">
771	<A href="#LinkTarget_2438">
772	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
773	>1 Introduction.............................................................................. </SPAN
774	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
775	>7
776	</SPAN
777	></A>
778	</P>
779	<P style="margin-bottom:0px">
780	<A href="#LinkTarget_2440">
781	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
782	>1.1 Purpose...................................................................................................</SPAN
783	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
784	>7
785	</SPAN
786	></A>
787	</P>
788	<P style="margin-bottom:0px">
789	<A href="#LinkTarget_2463">
790	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
791	>1.2 Related Documents ................................................................................</SPAN
792	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
793	>7
794	</SPAN
795	></A>
796	</P>
797	<P style="margin-bottom:0px">
798	<A href="#LinkTarget_2473">
799	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
800	>1.3 Status......................................................................................................</SPAN
801	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
802	>7
803	</SPAN
804	></A>
805	</P>
806	<P style="margin-bottom:0px">
807	<A href="#LinkTarget_2484">
808	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
809	>1.4 Peer review ............................................................................................</SPAN
810	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
811	>7
812	</SPAN
813	></A>
814	</P>
815	<P style="margin-bottom:8px">
816	<A href="#LinkTarget_2492">
817	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
818	>1.5 Conformance..........................................................................................</SPAN
819	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
820	>7
821	</SPAN
822	></A>
823	</P>
824	<P style="margin-bottom:0px">
825	<A href="#LinkTarget_2521">
826	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
827	>2 Integration Package ................................................................. </SPAN
828	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
829	>9
830	</SPAN
831	></A>
832	</P>
833	<P style="margin-bottom:0px">
834	<A href="#LinkTarget_2523">
835	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
836	>2.1 Requirements .........................................................................................</SPAN
837	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
838	>9
839	</SPAN
840	></A>
841	</P>
842	<P style="margin-bottom:0px">
843	<A href="#LinkTarget_2532">
844	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
845	>2.2 Design Basis ..........................................................................................</SPAN
846	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
847	>9
848	</SPAN
849	></A>
850	</P>
851	<P style="margin-bottom:0px">
852	<A href="#LinkTarget_2534">
853	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
854	>2.2.1 Overview..........................................................................................</SPAN
855	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
856	>9
857	</SPAN
858	></A>
859	</P>
860	<P style="margin-bottom:0px">
861	<A href="#LinkTarget_2576">
862	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
863	>2.2.2 Semantics of GENERIC_ENTRY .................................................1</SPAN
864	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
865	>0
866	</SPAN
867	></A>
868	</P>
869	<P style="margin-bottom:0px">
870	<A href="#LinkTarget_2599">
871	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
872	>2.2.3 Use with openEHR Extracts ..........................................................1</SPAN
873	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
874	>1
875	</SPAN
876	></A>
877	</P>
878	<P style="margin-bottom:0px">
879	<A href="#LinkTarget_2603">
880	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
881	>2.2.4 Integration with CEN EN13606 ....................................................1</SPAN
882	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
883	>1
884	</SPAN
885	></A>
886	</P>
887	<P style="margin-bottom:0px">
888	<A href="#LinkTarget_2608">
889	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
890	>2.3 Data Conversion Architecture .............................................................1</SPAN
891	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
892	>1
893	</SPAN
894	></A>
895	</P>
896	<P style="margin-bottom:0px">
897	<A href="#LinkTarget_2636">
898	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
899	>2.4 Class Descriptions................................................................................1</SPAN
900	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
901	>2
902	</SPAN
903	></A>
904	</P>
905	<P style="margin-bottom:8px">
906	<A href="#LinkTarget_2638">
907	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
908	>2.4.1 GENERIC_ENTRY Class .............................................................1</SPAN
909	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
910	>2
911	</SPAN
912	></A>
913	</P>
914	<P style="margin-bottom:0px">
915	<A href="#LinkTarget_2676">
916	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
917	>A References ............................................................................... 1</SPAN
918	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:13.9pt; color:#000000"
919	>3
920	</SPAN
921	></A>
922	</P>
923	<P style="margin-bottom:554px">
924	<A href="#LinkTarget_2679">
925	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
926	>A.1 Standards..............................................................................................1</SPAN
927	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
928	>3
929	</SPAN
930	></A>
931	</P>
932	<P style="margin-bottom:15px">
933	<A href="#LinkTarget_2185">
934	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
935	>Editors:T Beale </SPAN
936	></A>
937	<A href="#LinkTarget_2718">
938	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
939	>Page 5 of 15 </SPAN
940	></A>
941	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
942	>Date of Issue:</SPAN
943	><A href="#LinkTarget_2307">
944	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
945	> 22 Jul 2006 </SPAN
946	></A>
947	</P>
948	<P style="margin-bottom:0px; line-height:15px">
949	<SPAN>
950	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
951	>© 2003-2007 The openEHR Foundation</SPAN
952	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
953	>.
954	</SPAN
955	></SPAN>
956	<SPAN>
957	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
958	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
959	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
960	>g
961	</SPAN
962	></SPAN>
963	</P>
964	<P style="margin-bottom:487px">
965	<A href="#LinkTarget_2180">
966	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
967	>Integration Information Model </SPAN
968	></A>
969	</P>
970	<P style="margin-bottom:959px">
971	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
972	>Rev </SPAN
973	><A href="#LinkTarget_2303">
974	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
975	>0.6 </SPAN
976	></A>
977	</P>
978	<P style="margin-bottom:15px">
979	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
980	>Date of Issue:</SPAN
981	><A href="#LinkTarget_2307">
982	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
983	> 22 Jul 2006 </SPAN
984	></A>
985	<A href="#LinkTarget_2718">
986	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
987	>Page 6 of 15 </SPAN
988	></A>
989	<A href="#LinkTarget_2185">
990	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
991	>Editors:T Beale </SPAN
992	></A>
993	</P>
994	<P style="margin-bottom:0px; line-height:15px">
995	<A href="#LinkTarget_2290">
996	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
997	>© 2003-2007 The openEHR Foundation</SPAN
998	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
999	>.
1000	</SPAN
1001	></A>
1002	<SPAN>
1003	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1004	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1005	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1006	>g
1007	</SPAN
1008	></SPAN>
1009	</P>
1010	<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
1011	<A href="#LinkTarget_2180">
1012	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1013	>Integration Information Model </SPAN
1014	></A>
1015	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1016	>Introduction Rev </SPAN
1017	><A href="#LinkTarget_2303">
1018	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1019	>0.6 </SPAN
1020	></A>
1021	</P>
1022	</DIV>
1023	<DIV class="Part"
1024	><H2 ID="LinkTarget_2438">
1025	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
1026	>Introduction </SPAN
1027	></H2>
1028	<DIV class="Sect">
1029	<H3 ID="LinkTarget_2440">
1030	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1031	>1.1 </SPAN
1032	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1033	>Purpose </SPAN
1034	></H3>
1035	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1036	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1037	>This document describes the architecture of the </SPAN
1038	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1039	>open</SPAN
1040	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1041	>EHR Integration Information Model, designed for use in legacy and other integration situations. </SPAN
1042	></P>
1043	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1044	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1045	>The intended audience includes: </SPAN
1046	></P>
1047	<ul style="list-style-type:disc">
1048	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1049	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1050	>Standards bodies producing health informatics standards; </SPAN
1051	></LI>
1052	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1053	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1054	>Software development groups using </SPAN
1055	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1056	>open</SPAN
1057	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1058	>EHR; </SPAN
1059	></LI>
1060	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1061	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1062	>Academic groups using </SPAN
1063	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1064	>open</SPAN
1065	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1066	>EHR; </SPAN
1067	></LI>
1068	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1069	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1070	>The open source healthcare community; </SPAN
1071	></LI>
1072	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1073	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1074	>Medical informaticians and clinicians intersted in health information; </SPAN
1075	></LI>
1076	<LI style="list-style-type:disc; text-align:justify; margin-bottom:20px; margin-left:60px; text-indent:-23px">
1077	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1078	>Health data managers. </SPAN
1079	></LI>
1080	</ul>
1081	</DIV>
1082	<DIV class="Sect">
1083	<H3 ID="LinkTarget_2463">
1084	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1085	>1.2 </SPAN
1086	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1087	>Related Documents </SPAN
1088	></H3>
1089	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1090	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1091	>Prerequisite documents for reading this document include: </SPAN
1092	></P>
1093	<ul style="list-style-type:disc">
1094	<LI style="list-style-type:disc; text-align:justify; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1095	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1096	>The </SPAN
1097	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1098	>open</SPAN
1099	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1100	>EHR Architecture Overview </SPAN
1101	></LI>
1102	<LI style="list-style-type:disc; text-align:justify; margin-bottom:20px; margin-left:60px; text-indent:-23px">
1103	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1104	>The </SPAN
1105	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1106	>open</SPAN
1107	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1108	>EHR Reference Model documents </SPAN
1109	></LI>
1110	</ul>
1111	</DIV>
1112	<DIV class="Sect">
1113	<H3 ID="LinkTarget_2473">
1114	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1115	>1.3 </SPAN
1116	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1117	>Status </SPAN
1118	></H3>
1119	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1120	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1121	>This document is under development, and is published as a proposal for input to standards processes and implementation works. </SPAN
1122	></P>
1123	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1124	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1125	>This document is available at </SPAN
1126	><A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/integration_im.pdf">
1127	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1128	>http://svn.openehr.org/specification/TAGS/Release</SPAN
1129	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1130	></SPAN
1131	></A>
1132	<A href="http://svn.openehr.org/specification/TAGS/Release-1.0.1/publishing/architecture/rm/integration_im.pdf">
1133	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1134	>1.0.1/publishing/architecture/rm/integration_im.pdf</SPAN
1135	></A>
1136	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1137	>. </SPAN
1138	></P>
1139	<P style="text-align:justify; margin-bottom:20px; line-height:19px">
1140	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1141	>The latest version of this document can be found at </SPAN
1142	><A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/integration_im.pdf">
1143	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1144	>http://svn.openehr.org/specifica</SPAN
1145	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1146	></SPAN
1147	></A>
1148	<A href="http://svn.openehr.org/specification/TRUNK/publishing/architecture/rm/integration_im.pdf">
1149	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1150	>tion/TRUNK/publishing/architecture/rm/integration_im.pdf</SPAN
1151	></A>
1152	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1153	>. </SPAN
1154	></P>
1155	</DIV>
1156	<DIV class="Sect">
1157	<H3 ID="LinkTarget_2484">
1158	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1159	>1.4 </SPAN
1160	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1161	>Peer review </SPAN
1162	></H3>
1163	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1164	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1165	>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
1166	></P>
1167	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1168	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:12pt; font-weight:normal; color:#FF00FF"
1169	>To Be Continued: more work required </SPAN
1170	></P>
1171	<P style="text-align:justify; margin-bottom:20px; line-height:19px">
1172	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1173	>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
1174	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1175	></SPAN
1176	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1177	>tent. Please send requests for information to </SPAN
1178	><A href="mailto:info@gehr.org">
1179	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1180	>info@openEHR.org</SPAN
1181	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1182	>. Feedback should preferably be </SPAN
1183	></A>
1184	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1185	>provided on the mailing list </SPAN
1186	><A href="mailto:openehr-technical@openehr.org">
1187	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#0000FF"
1188	>openehr-technical@openehr.org</SPAN
1189	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1190	>, or by private email. </SPAN
1191	></A>
1192	</P>
1193	</DIV>
1194	<DIV class="Sect">
1195	<H3 ID="LinkTarget_2492">
1196	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1197	>1.5 </SPAN
1198	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1199	>Conformance </SPAN
1200	></H3>
1201	<P style="text-align:justify; margin-bottom:39px; line-height:19px">
1202	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1203	>Conformance of a data or software artifact to an </SPAN
1204	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1205	>open</SPAN
1206	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1207	>EHR Reference Model specification is deter</SPAN
1208	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1209	></SPAN
1210	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1211	>mined by a formal test of that artifact against the relevant </SPAN
1212	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1213	>open</SPAN
1214	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1215	>EHR Implementation Technology Specification(s) (ITSs), such as an IDL interface or an XML-schema. Since ITSs are formal, auto</SPAN
1216	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1217	></SPAN
1218	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1219	>mated derivations from the Reference Model, ITS conformance indicates RM conformance. </SPAN
1220	></P>
1221	<P style="margin-bottom:15px">
1222	<A href="#LinkTarget_2185">
1223	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1224	>Editors:T Beale </SPAN
1225	></A>
1226	<A href="#LinkTarget_2718">
1227	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1228	>Page 7 of 15 </SPAN
1229	></A>
1230	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1231	>Date of Issue:</SPAN
1232	><A href="#LinkTarget_2307">
1233	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1234	> 22 Jul 2006 </SPAN
1235	></A>
1236	</P>
1237	<P style="margin-bottom:0px; line-height:15px">
1238	<SPAN>
1239	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1240	>© 2003-2007 The openEHR Foundation</SPAN
1241	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1242	>.
1243	</SPAN
1244	></SPAN>
1245	<SPAN>
1246	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1247	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1248	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1249	>g
1250	</SPAN
1251	></SPAN>
1252	</P>
1253	<P style="text-align:justify; margin-bottom:959px; line-height:15px">
1254	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1255	>Introduction </SPAN
1256	><A href="#LinkTarget_2180">
1257	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1258	>Integration Information Model </SPAN
1259	></A>
1260	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1261	>Rev </SPAN
1262	><A href="#LinkTarget_2303">
1263	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1264	>0.6 </SPAN
1265	></A>
1266	</P>
1267	<P style="margin-bottom:15px">
1268	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1269	>Date of Issue:</SPAN
1270	><A href="#LinkTarget_2307">
1271	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1272	> 22 Jul 2006 </SPAN
1273	></A>
1274	<A href="#LinkTarget_2718">
1275	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1276	>Page 8 of 15 </SPAN
1277	></A>
1278	<A href="#LinkTarget_2185">
1279	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1280	>Editors:T Beale </SPAN
1281	></A>
1282	</P>
1283	<P style="margin-bottom:0px; line-height:15px">
1284	<A href="#LinkTarget_2290">
1285	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1286	>© 2003-2007 The openEHR Foundation</SPAN
1287	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1288	>.
1289	</SPAN
1290	></A>
1291	<SPAN>
1292	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1293	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1294	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1295	>g
1296	</SPAN
1297	></SPAN>
1298	</P>
1299	<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
1300	<A href="#LinkTarget_2180">
1301	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1302	>Integration Information Model </SPAN
1303	></A>
1304	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1305	>Integration Package Rev </SPAN
1306	><A href="#LinkTarget_2303">
1307	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1308	>0.6 </SPAN
1309	></A>
1310	</P>
1311	</DIV>
1312	</DIV>
1313	<DIV class="Part"
1314	><H2 ID="LinkTarget_2521">
1315	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
1316	>Integration Package </SPAN
1317	></H2>
1318	<DIV class="Sect">
1319	<H3 ID="LinkTarget_2523">
1320	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1321	>2.1 </SPAN
1322	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1323	>Requirements </SPAN
1324	></H3>
1325	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1326	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1327	>Getting data in and out of the EHR is one of the most basic requirements </SPAN
1328	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1329	>open</SPAN
1330	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1331	>EHR aims to satisfy. In “greenfield” (new build) situations, and for data being created by GUI applications via the </SPAN
1332	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1333	>open</SPAN
1334	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1335	>EHR EHR APIs, there is no issue, since native </SPAN
1336	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1337	>open</SPAN
1338	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1339	>EHR structures and semantics are being used. In almost all other situations, existing data sources and sinks have to be accounted for. In general, external or ‘legacy’ data (here the term is used for convenience, and does not imply anything about the age or quality of the systems in question) have different syntactic and semantic formats than </SPAN
1340	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1341	>open</SPAN
1342	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1343	>EHR data, and seamless conversion requires addressing both levels. </SPAN
1344	></P>
1345	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1346	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1347	>Typical examples of legacy data sources and sinks include relational databases, HL7v2 messages, and HL7 CDA documents. HL7v2 messages are probably one of the most common sources of pathology messages in many countries; EDIFACT messages are another. More recently, HL7v2 messages have been designed for referrals and even discharge summaries. Not all legacy systems are standardised; many if not most hospitals as well as GP and other desktop products have their own private models of data and terminology usage. Technically speaking, there is not much difference between standardised and non-standardised legacy models; only the reusability of the solution differs. </SPAN
1348	></P>
1349	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1350	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1351	>Another important category of externally sourced data addressed by the Integration package described here is data expressed in a form of a CEN EN13606 Extract. Part 1 of EN13606 defines a information model which is nearly identical to that of </SPAN
1352	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1353	>open</SPAN
1354	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1355	>EHR at the </SPAN
1356	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1357	>COMPOSITION</SPAN
1358	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1359	> and </SPAN
1360	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1361	>SECTION </SPAN
1362	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1363	>levels. The CEN EN13606 </SPAN
1364	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1365	>Entry</SPAN
1366	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1367	> class is a generic structure with a minimum of contextual meta</SPAN
1368	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1369	></SPAN
1370	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1371	>data, and can easily be mapped to the </SPAN
1372	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1373	>open</SPAN
1374	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1375	>EHR Entry type described in this specification. </SPAN
1376	></P>
1377	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1378	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1379	>The primary need with respect to legacy data is to be able to convert data from multiple mutually incompatible sources into a single, standardised patient-centric EHR for each patient, that can then be longitudinally viewed and queried. This is what enables GP and specialist notes, diagnoses and plans to be integrated with laboratory results from multiple sources, patient notes, administrative data and so on, to provide a coherent record of the patient journey. </SPAN
1380	></P>
1381	<P style="text-align:justify; margin-bottom:20px; line-height:19px">
1382	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1383	>In technical terms, a number of types of incompatibility have to be dealt with. There is no guarantee of correspondence of scope of incoming transactions and target </SPAN
1384	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1385	>open</SPAN
1386	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1387	>EHR structures - an incoming document for example might correspond to a number of clinical archetypes. Structure will not usually correspond, with legacy data (particularly messages) usually having flatter structures than those defined in target archetypes. Terminology use is extremely variable in existing systems and messages, and also has to be dealt with. Data types will also not correspond directly, so that for example, a map</SPAN
1388	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1389	></SPAN
1390	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1391	>ping between an incoming string “110/80 mmHg” and the target </SPAN
1392	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1393	>open</SPAN
1394	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1395	>EHR form of two </SPAN
1396	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1397	>DV_QUANTITY</SPAN
1398	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1399	> objects each with their own value and units has to be made. </SPAN
1400	></P>
1401	</DIV>
1402	<DIV class="Sect">
1403	<H3 ID="LinkTarget_2532" style="margin-bottom:15px">
1404	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1405	>2.2 </SPAN
1406	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1407	>Design Basis </SPAN
1408	></H3>
1409	<DIV class="Sect">
1410	<H3 ID="LinkTarget_2534" style="margin-bottom:0px">
1411	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1412	>2.2.1 </SPAN
1413	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1414	>Overview </SPAN
1415	></H3>
1416	<P style="text-align:justify; margin-bottom:29px; line-height:19px">
1417	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1418	>The design basis for connecting existing systems to </SPAN
1419	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1420	>open</SPAN
1421	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1422	>EHR is founded upon a clear separation of the syntactic and semantic transformations required on data. The syntactic transformation converts source data from its original form (or whatever intermediate form it may have been converted to) to a format obeying a special class in the </SPAN
1423	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1424	>open</SPAN
1425	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1426	>EHR reference model, but whose logical structure and semantics are controlled by ‘integration’ archetypes so as to mimic the design of the source data. This step brings the data into the </SPAN
1427	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1428	>open</SPAN
1429	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1430	>EHR computational context. The second step causes transformation </SPAN
1431	></P>
1432	<P style="margin-bottom:15px">
1433	<A href="#LinkTarget_2185">
1434	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1435	>Editors:T Beale </SPAN
1436	></A>
1437	<A href="#LinkTarget_2718">
1438	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1439	>Page 9 of 15 </SPAN
1440	></A>
1441	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1442	>Date of Issue:</SPAN
1443	><A href="#LinkTarget_2307">
1444	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1445	> 22 Jul 2006 </SPAN
1446	></A>
1447	</P>
1448	<P style="margin-bottom:0px; line-height:15px">
1449	<SPAN>
1450	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1451	>© 2003-2007 The openEHR Foundation</SPAN
1452	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1453	>.
1454	</SPAN
1455	></SPAN>
1456	<SPAN>
1457	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1458	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1459	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1460	>g
1461	</SPAN
1462	></SPAN>
1463	</P>
1464	<P style="text-align:left; margin-bottom:15px; line-height:15px">
1465	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1466	>Integration Package </SPAN
1467	><A href="#LinkTarget_2180">
1468	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1469	>Integration Information Model </SPAN
1470	></A>
1471	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1472	>Rev </SPAN
1473	><A href="#LinkTarget_2303">
1474	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1475	>0.6 </SPAN
1476	></A>
1477	</P>
1478	<P style="text-align:left; margin-bottom:8px; line-height:19px">
1479	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1480	>on this intermediate </SPAN
1481	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1482	>open</SPAN
1483	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1484	>EHR data into data which are a) instances of the main </SPAN
1485	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1486	>open</SPAN
1487	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1488	>EHR reference model, and b) obey ‘designed’ clinical archetypes. </SPAN
1489	></P>
1490	<P style="text-align:left; margin-bottom:8px; line-height:19px">
1491	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1492	>The additional elements of the </SPAN
1493	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1494	>open</SPAN
1495	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1496	>EHR architecture which make this transformation possible are: </SPAN
1497	></P>
1498	<ul style="list-style-type:disc">
1499	<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px; line-height:19px">
1500	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1501	>a class </SPAN
1502	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1503	>GENERIC_ENTRY</SPAN
1504	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1505	>, which is a sibling of </SPAN
1506	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1507	>SECTION</SPAN
1508	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1509	> and </SPAN
1510	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1511	>ENTRY</SPAN
1512	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1513	>, and contains com</SPAN
1514	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1515	></SPAN
1516	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1517	>pletely generic, archetypable structures; </SPAN
1518	></LI>
1519	<LI style="list-style-type:disc; margin-bottom:4px; margin-left:60px; text-indent:-23px">
1520	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1521	>‘integration’ archetypes, i.e. archetypes defined against the </SPAN
1522	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1523	>GENERIC_ENTRY</SPAN
1524	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1525	> class; </SPAN
1526	></LI>
1527	<LI style="list-style-type:disc; margin-left:60px; text-indent:-23px">
1528	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1529	>semantic transformation rules from </SPAN
1530	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1531	>open</SPAN
1532	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1533	>EHR data based on </SPAN
1534	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1535	>GENERIC_ENTRY</SPAN
1536	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1537	> and integra</SPAN
1538	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1539	></SPAN
1540	></LI>
1541	</ul>
1542	<P style="text-align:left; margin-bottom:20px; text-indent:60px; line-height:20px">
1543	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1544	>tion archetypes to data based on the subtypes of </SPAN
1545	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1546	>ENTRY</SPAN
1547	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1548	>, and designed archetypes. </SPAN
1549	><A href="#LinkTarget_2574">
1550	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1551	>FIGURE 1 </SPAN
1552	></A>
1553	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1554	>illustrates the </SPAN
1555	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1556	>rm.integration</SPAN
1557	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1558	> package, which contains a single class </SPAN
1559	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1560	>GENERIC_ENTRY</SPAN
1561	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1562	>. Unlike other classes in the </SPAN
1563	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1564	>open</SPAN
1565	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1566	>EHR reference model, </SPAN
1567	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1568	>GENERIC_ENTRY</SPAN
1569	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1570	> contains no hard-wired attributes at all, only one generic attribute, </SPAN
1571	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1572	>data</SPAN
1573	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1574	>. No assumptions at all are made about the actual shape of such data. </SPAN
1575	></P>
1576	<P style="margin-bottom:0px">
1577	<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
1578	>LOCATABL</SPAN
1579	><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-style:italic; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
1580	>E </SPAN
1581	></P>
1582	<P style="margin-bottom:15px">
1583	<SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
1584	>(rm.common.archetyped</SPAN
1585	><SPAN style="font-family:'sans-serif', 'Arial Narrow', sans-serif; font-size:9.9pt; font-weight:normal; font-stretch:semi-condensed; color:#96B5B8"
1586	>) </SPAN
1587	></P>
1588	<IMG width=396 height=161 style="display:block; float:none; text-align:center; margin-bottom:15px" src="images/integration_im_img_2.png">
1589	<P style="margin-bottom:15px">
1590	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
1591	>FIGURE 1 </SPAN
1592	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; font-weight:normal; color:#000000"
1593	>rm.integration Package </SPAN
1594	></P>
1595	</DIV>
1596	<DIV class="Sect">
1597	<H3 ID="LinkTarget_2576" style="margin-bottom:0px">
1598	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1599	>2.2.2 </SPAN
1600	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1601	>Semantics of GENERIC_ENTRY </SPAN
1602	></H3>
1603	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1604	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1605	>A number of useful consequences follow from this modelling approach. Firstly, instances of </SPAN
1606	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1607	>GENERIC_ENTRY</SPAN
1608	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1609	> will contain attributes inherited from the </SPAN
1610	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1611	>LOCATABLE</SPAN
1612	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1613	> class, including </SPAN
1614	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1615	>archetype_node_id</SPAN
1616	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1617	>, and are thus archetypable in the same way as all other classes in the </SPAN
1618	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1619	>open</SPAN
1620	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1621	>EHR reference model. The </SPAN
1622	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1623	>LOCATABLE</SPAN
1624	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1625	> attribute </SPAN
1626	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1627	>feeder_audit</SPAN
1628	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1629	> is also inherited, and may be used to mark every node of data with relevant meta-data from the source system record or message. Secondly, as a subtype of </SPAN
1630	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1631	>CONTENT_ITEM</SPAN
1632	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1633	>, </SPAN
1634	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1635	>GENERIC_ENTRY</SPAN
1636	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1637	> is a valid value for </SPAN
1638	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1639	>COMPOSITION</SPAN
1640	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1641	>.</SPAN
1642	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1643	>content</SPAN
1644	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1645	>. This is a completely desirable situation, since the same rules apply to </SPAN
1646	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1647	>GENERIC_ENTRY</SPAN
1648	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1649	> as to other content: instances can only be committed to the record as part of a </SPAN
1650	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1651	>COMPOSITION</SPAN
1652	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1653	> instance. </SPAN
1654	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1655	>GENERIC_ENTRY </SPAN
1656	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1657	>data are thus audit-trailed and versioned in the normal way. Thirdly, </SPAN
1658	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1659	>GENERIC_ENTRY</SPAN
1660	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1661	> instances can occur within a hierarchy of </SPAN
1662	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1663	>SECTIONs</SPAN
1664	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1665	>, which is useful for data sources which have headings or sec</SPAN
1666	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1667	></SPAN
1668	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1669	>tion equivalents (this is quite common in hospital information systems containing physician notes). Lastly, in common with all other </SPAN
1670	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1671	>open</SPAN
1672	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1673	>EHR data, design-time paths can be constructed for archetypes of </SPAN
1674	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1675	>GENERIC_ENTRY</SPAN
1676	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1677	>, while runtime paths can be extracted from data based on such archetypes. These path sets can be used for writing the data transformation rules. </SPAN
1678	></P>
1679	<P style="text-align:justify; margin-bottom:29px; line-height:19px">
1680	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1681	>It should be remembered that while </SPAN
1682	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1683	>GENERIC_ENTRY</SPAN
1684	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1685	> provides a standardised syntactic form for externally sourced data within </SPAN
1686	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1687	>open</SPAN
1688	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1689	>EHR, it provides no semantic coherence. This is particularly true for </SPAN
1690	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1691	>GENERIC_ENTRY</SPAN
1692	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1693	> instances sourced from numerous data sources: there is no guarantee that the </SPAN
1694	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1695	>GENERIC_ENTRY</SPAN
1696	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1697	> representations of “cholesterol result” from system A will be congruent with those sourced from system B. It is not even required that the data sources be vastly different for this prob-</SPAN
1698	></P>
1699	<P style="margin-bottom:15px; margin-left:566px; text-indent:-565px">
1700	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1701	>Date of Issue:</SPAN
1702	><A href="#LinkTarget_2307">
1703	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1704	> 22 Jul 2006 </SPAN
1705	></A>
1706	<A href="#LinkTarget_2718">
1707	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1708	>Page 10 of 1</SPAN
1709	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1710	>5 </SPAN
1711	></A>
1712	<A href="#LinkTarget_2185">
1713	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1714	>Editors:T Beale </SPAN
1715	></A>
1716	</P>
1717	<P style="margin-bottom:0px; line-height:15px">
1718	<A href="#LinkTarget_2290">
1719	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1720	>© 2003-2007 The openEHR Foundation</SPAN
1721	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1722	>.
1723	</SPAN
1724	></A>
1725	<SPAN>
1726	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1727	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1728	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1729	>g
1730	</SPAN
1731	></SPAN>
1732	</P>
1733	<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
1734	<A href="#LinkTarget_2180">
1735	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1736	>Integration Information Model </SPAN
1737	></A>
1738	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1739	>Integration Package Rev </SPAN
1740	><A href="#LinkTarget_2303">
1741	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1742	>0.6 </SPAN
1743	></A>
1744	</P>
1745	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1746	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1747	>lem to occur. Examples of messages can be found coming from different pathology laboratories, which obey the same minor version of HL7v2 (e.g. 2.3.1) and supposedly implement the same mes</SPAN
1748	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1749	></SPAN
1750	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1751	>sage type (e.g. “complete blood picture”) but which differ in actual structure and content. </SPAN
1752	></P>
1753	<P style="text-align:justify; margin-bottom:15px; line-height:19px">
1754	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1755	>The consequence of this situation is that </SPAN
1756	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1757	>GENERIC_ENTRY</SPAN
1758	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1759	> data cannot in general be safely used for clinical computation (e.g. decision support), and will not in general even support reliable clinical que</SPAN
1760	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1761	></SPAN
1762	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1763	>rying. In other words, a repository of </SPAN
1764	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1765	>GENERIC_ENTRYs</SPAN
1766	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1767	> (within appropriate </SPAN
1768	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1769	>COMPOSITION</SPAN
1770	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1771	> struc</SPAN
1772	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1773	></SPAN
1774	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1775	>tures) does not constitute a reliable or interoperable health record - it can only be considered a standardised health information data store whose primary purpose is as the input to or output of semantic conversion processes, or for other auditing or non-clinical data management purposes. </SPAN
1776	></P>
1777	</DIV>
1778	<DIV class="Sect">
1779	<H3 ID="LinkTarget_2599" style="margin-bottom:0px">
1780	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1781	>2.2.3 </SPAN
1782	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1783	>Use with </SPAN
1784	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1785	>open</SPAN
1786	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1787	>EHR Extracts </SPAN
1788	></H3>
1789	<P style="text-align:justify; margin-bottom:15px; line-height:19px">
1790	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1791	>The </SPAN
1792	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1793	>GENERIC_ENTRY</SPAN
1794	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1795	> class provides a way to represent data from non-</SPAN
1796	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1797	>open</SPAN
1798	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1799	>EHR systems that imple</SPAN
1800	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1801	></SPAN
1802	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1803	>ment the </SPAN
1804	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1805	>open</SPAN
1806	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1807	>EHR Extract specification in order to either communicate with </SPAN
1808	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1809	>open</SPAN
1810	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1811	>EHR systems, or to communicate with other systems also implementing the </SPAN
1812	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1813	>open</SPAN
1814	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1815	>EHR Extract specification. </SPAN
1816	></P>
1817	</DIV>
1818	<DIV class="Sect">
1819	<H3 ID="LinkTarget_2603" style="margin-bottom:0px">
1820	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1821	>2.2.4 </SPAN
1822	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
1823	>Integration with CEN EN13606 </SPAN
1824	></H3>
1825	<P style="text-align:justify; margin-bottom:20px; line-height:19px">
1826	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1827	>The </SPAN
1828	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1829	>GENERIC_ENTRY</SPAN
1830	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1831	> class provides a convenient basis for making </SPAN
1832	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1833	>open</SPAN
1834	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1835	>EHR systems EN13606</SPAN
1836	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1837	></SPAN
1838	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1839	>compliant, which in turn gives </SPAN
1840	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1841	>open</SPAN
1842	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1843	>EHR a gateway capability in heterogeneous environments where EN13606 is being used to communicate data. A CEN EN13606 EHR Extract can be converted to a series of </SPAN
1844	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1845	>COMPOSITIONs</SPAN
1846	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1847	> containing </SPAN
1848	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1849	>GENERIC_ENTRY</SPAN
1850	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1851	> objects which obey appropriate integration archetypes; this data can then be semantically converted into orthodox </SPAN
1852	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1853	>open</SPAN
1854	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1855	>EHR objects for integra</SPAN
1856	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1857	></SPAN
1858	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1859	>tion into a coherent EHR. Similarly, </SPAN
1860	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1861	>open</SPAN
1862	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1863	>EHR data can be converted into the </SPAN
1864	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1865	>GENERIC_ENTRY</SPAN
1866	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1867	>-based intermediate form for further conversion into EN13606 EHR Extracts. </SPAN
1868	></P>
1869	</DIV>
1870	</DIV>
1871	<DIV class="Sect">
1872	<H3 ID="LinkTarget_2608">
1873	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1874	>2.3 </SPAN
1875	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
1876	>Data Conversion Architecture </SPAN
1877	></H3>
1878	<P style="text-align:justify; margin-bottom:48px; line-height:19px">
1879	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1880	>The integration archetype-based strategy for importing data into an </SPAN
1881	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1882	>open</SPAN
1883	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1884	>EHR system, shown in </SPAN
1885	><A href="#LinkTarget_2616">
1886	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1887	>FIG</SPAN
1888	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1889	></SPAN
1890	></A>
1891	<A href="#LinkTarget_2616">
1892	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1893	>URE 2, consists of two steps. </SPAN
1894	></A>
1895	</P>
1896	<P style="text-align:justify; margin-bottom:29px; margin-left:20px; line-height:14px">
1897	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1898	>CDA 1.0 </SPAN
1899	></P>
1900	<P style="text-align:justify; margin-bottom:0px; margin-right:21px; margin-left:11px; text-indent:-9px; line-height:14px">
1901	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1902	>HL7v2.5 path </SPAN
1903	></P>
1904	<IMG width=9 height=8 style="display:block; float:none; text-align:right; margin-bottom:75px; margin-right:13px; margin-left:43px" src="images/integration_im_img_3.png">
1905	<IMG width=603 height=363 style="display:block; float:none; text-align:right; margin-bottom:78px" src="images/integration_im_img_4.png">
1906	<P style="text-align:left; margin-bottom:-11px; margin-left:18px; line-height:13px">
1907	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1908	>HIS Db .csv files </SPAN
1909	></P>
1910	<IMG width=9 height=7 style="display:block; float:none; text-align:right; margin-bottom:239px" src="images/integration_im_img_5.png">
1911	<P style="margin-bottom:15px; line-height:15px">
1912	<A href="#LinkTarget_2185">
1913	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1914	>Editors:T Beale </SPAN
1915	></A>
1916	<A href="#LinkTarget_2718">
1917	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1918	>Page 11 of 15 </SPAN
1919	></A>
1920	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1921	>Date of Issue:</SPAN
1922	><A href="#LinkTarget_2307">
1923	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1924	> 22 Jul 2006 </SPAN
1925	></A>
1926	</P>
1927	<P style="margin-bottom:0px; line-height:15px">
1928	<SPAN>
1929	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1930	>© 2003-2007 The openEHR Foundation</SPAN
1931	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1932	>.
1933	</SPAN
1934	></SPAN>
1935	<SPAN>
1936	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1937	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
1938	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
1939	>g
1940	</SPAN
1941	></SPAN>
1942	</P>
1943	<P style="text-align:justify; margin-bottom:15px; line-height:15px">
1944	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1945	>Integration Package </SPAN
1946	><A href="#LinkTarget_2180">
1947	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1948	>Integration Information Model </SPAN
1949	></A>
1950	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1951	>Rev </SPAN
1952	><A href="#LinkTarget_2303">
1953	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
1954	>0.6 </SPAN
1955	></A>
1956	</P>
1957	<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1958	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1959	>Firstly, data are converted from their original syntactic format into </SPAN
1960	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1961	>open</SPAN
1962	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1963	>EHR </SPAN
1964	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1965	>COMPOSITION</SPAN
1966	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1967	>/</SPAN
1968	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1969	>SEC</SPAN
1970	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1971	></SPAN
1972	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1973	>TION</SPAN
1974	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1975	>/</SPAN
1976	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1977	>GENERIC_ENTRY</SPAN
1978	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1979	> structures, shown in the </SPAN
1980	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1981	>open</SPAN
1982	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1983	>EHR integration switch. Most of the data will appear in the </SPAN
1984	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1985	>GENERIC_ENTRY</SPAN
1986	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1987	> part, controlled by an integration archetype designed to mimic the incoming structure (such as an HL7v2 lab message) as closely as possible; </SPAN
1988	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
1989	>FEEDER_AUDIT</SPAN
1990	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1991	>structures are used to contain integration meta-data. The result of this step is data that are expressed in the </SPAN
1992	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1993	>open</SPAN
1994	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1995	>EHR type system (i.e. as instances of the </SPAN
1996	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1997	>open</SPAN
1998	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
1999	>EHR reference model), and are immediately ame</SPAN
2000	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2001	></SPAN
2002	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2003	>nable to processing with normal </SPAN
2004	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2005	>open</SPAN
2006	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2007	>EHR software. </SPAN
2008	></P>
2009	<P style="text-align:justify; margin-bottom:20px; line-height:19px">
2010	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2011	>In the second step, semantic transformation is effected, by the use of mappings between integration and designed archetypes. Such mappings are created by archetype authors using tools. The mapping rules are the key to defining structural transformations, use of terminological codes, and other changes. Serious challenges of course remain in the business of integrating heterogeneous systems; some of these are dealt with in the Common IM document sections on Feeder systems. </SPAN
2012	></P>
2013	</DIV>
2014	<DIV class="Sect">
2015	<H3 ID="LinkTarget_2636" style="margin-bottom:15px">
2016	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
2017	>2.4 </SPAN
2018	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
2019	>Class Descriptions </SPAN
2020	></H3>
2021	<DIV class="Sect">
2022	<H3 ID="LinkTarget_2638" style="margin-bottom:24px">
2023	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
2024	>2.4.1 </SPAN
2025	><SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:13.9pt; color:#000000"
2026	>GENERIC_ENTRY Class </SPAN
2027	></H3>
2028	<TABLE style="margin-bottom:316px">
2029	<TR>
2030	<TH style="text-align:center; width:114px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
2031	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2032	>CLASS </SPAN
2033	></TH>
2034	<TH colspan=2 style="width:536px; height:31px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:3px 1px 4px 1px">
2035	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2036	>GENERIC_ENTRY </SPAN
2037	></TH>
2038	</TR>
2039	<TR>
2040	<TD style="text-align:center; width:114px; height:65px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
2041	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2042	>Purpose </SPAN
2043	></TD>
2044	<TD colspan=2 style="vertical-align:top; width:536px; height:65px; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
2045	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2046	>This class is used to create intermediate representations of data from sources not otherwise conforming to </SPAN
2047	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2048	>open</SPAN
2049	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2050	>EHR classes, such as HL7 messages, relational databases and so on. </SPAN
2051	></TD>
2052	</TR>
2053	<TR>
2054	<TD style="text-align:center; width:114px; height:35px; background-color:#FFFF7E; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2055	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2056	>CEN </SPAN
2057	></TD>
2058	<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2059	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2060	>Entry </SPAN
2061	></TD>
2062	</TR>
2063	<TR>
2064	<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2065	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2066	>Inherit </SPAN
2067	></TD>
2068	<TD colspan=2 style="vertical-align:top; width:536px; height:35px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2069	<SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
2070	>CONTENT_ITEM </SPAN
2071	></TD>
2072	</TR>
2073	<TR>
2074	<TD style="text-align:center; width:114px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2075	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2076	>Attributes </SPAN
2077	></TD>
2078	<TD style="width:256px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px">
2079	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2080	>Signature </SPAN
2081	></TD>
2082	<TD style="width:281px; height:35px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2083	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2084	>Meaning </SPAN
2085	></TD>
2086	</TR>
2087	<TR>
2088	<TD style="text-align:center; vertical-align:top; width:114px; height:48px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px"/>
2089	<TD style="vertical-align:top; width:256px; height:48px; border-style:solid; border-color:#000000; border-width:1px">
2090	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
2091	>data</SPAN
2092	><SPAN style="font-family:'serif', 'Courier New PSMT'; font-size:10.9pt; font-weight:normal; color:#000000"
2093	>: ITEM_TREE </SPAN
2094	></TD>
2095	<TD style="width:281px; height:48px; border-style:solid; border-color:#000000; border-width:1px 1px 1px 1px">
2096	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2097	>The ‘data’ from the source message or record. </SPAN
2098	></TD>
2099	</TR>
2100	<TR>
2101	<TD style="text-align:center; width:114px; height:32px; background-color:#CCFFFF; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
2102	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:12pt; color:#000000"
2103	>Invariants </SPAN
2104	></TD>
2105	<TD colspan=2 style="vertical-align:top; width:536px; height:32px; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px"/>
2106	</TR>
2107	</TABLE>
2108	<P style="margin-bottom:15px; line-height:15px">
2109	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2110	>Date of Issue:</SPAN
2111	><A href="#LinkTarget_2307">
2112	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2113	> 22 Jul 2006 </SPAN
2114	></A>
2115	<A href="#LinkTarget_2718">
2116	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2117	>Page 12 of 15 </SPAN
2118	></A>
2119	<A href="#LinkTarget_2185">
2120	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2121	>Editors:T Beale </SPAN
2122	></A>
2123	</P>
2124	<P style="margin-bottom:0px; line-height:15px">
2125	<A href="#LinkTarget_2290">
2126	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2127	>© 2003-2007 The openEHR Foundation</SPAN
2128	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2129	>.
2130	</SPAN
2131	></A>
2132	<SPAN>
2133	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2134	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
2135	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2136	>g
2137	</SPAN
2138	></SPAN>
2139	</P>
2140	<P style="text-align:justify; margin-bottom:15px; margin-left:607px; text-indent:-606px; line-height:15px">
2141	<A href="#LinkTarget_2180">
2142	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2143	>Integration Information Model </SPAN
2144	></A>
2145	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2146	>References Rev </SPAN
2147	><A href="#LinkTarget_2303">
2148	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2149	>0.6 </SPAN
2150	></A>
2151	</P>
2152	</DIV>
2153	</DIV>
2154	</DIV>
2155	<DIV class="Part"
2156	><H2 ID="LinkTarget_2676" style="margin-bottom:39px; margin-left:0px">
2157	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; color:#000000"
2158	>A References </SPAN
2159	></H2>
2160	<TABLE style="margin-bottom:789px">
2161	<TR>
2162	<TD ID="LinkTarget_2679" style="vertical-align:top; width:41px; height:26px">
2163	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
2164	>A.1 </SPAN
2165	></TD>
2166	<TD style="vertical-align:top; width:603px; height:26px">
2167	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:15.9pt; color:#000000"
2168	>Standards </SPAN
2169	></TD>
2170	</TR>
2171	<TR>
2172	<TD style="vertical-align:bottom; width:41px; height:25px">
2173	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2174	>1 </SPAN
2175	></TD>
2176	<TD style="vertical-align:bottom; width:603px; height:25px">
2177	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2178	>ENV 13606-1</SPAN
2179	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2180	> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
2181	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2182	>. </SPAN
2183	></TD>
2184	</TR>
2185	<TR>
2186	<TD style="vertical-align:top; width:41px; height:26px"/>
2187	<TD style="vertical-align:top; width:603px; height:26px">
2188	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2189	>CEN/ TC 251 Health Informatics Technical Committee. </SPAN
2190	></TD>
2191	</TR>
2192	<TR>
2193	<TD style="vertical-align:bottom; width:41px; height:18px">
2194	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2195	>2 </SPAN
2196	></TD>
2197	<TD style="vertical-align:bottom; width:603px; height:18px">
2198	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; font-weight:normal; color:#000000"
2199	>HL7 version 2 ref.... </SPAN
2200	></TD>
2201	</TR>
2202	</TABLE>
2203	<P style="margin-bottom:15px">
2204	<A href="#LinkTarget_2185">
2205	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2206	>Editors:T Beale </SPAN
2207	></A>
2208	<A href="#LinkTarget_2718">
2209	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2210	>Page 13 of 15 </SPAN
2211	></A>
2212	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2213	>Date of Issue:</SPAN
2214	><A href="#LinkTarget_2307">
2215	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2216	> 22 Jul 2006 </SPAN
2217	></A>
2218	</P>
2219	<P style="margin-bottom:0px; line-height:15px">
2220	<SPAN>
2221	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2222	>© 2003-2007 The openEHR Foundation</SPAN
2223	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2224	>.
2225	</SPAN
2226	></SPAN>
2227	<SPAN>
2228	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2229	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
2230	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2231	>g
2232	</SPAN
2233	></SPAN>
2234	</P>
2235	<P style="text-align:justify; margin-bottom:959px; line-height:15px">
2236	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2237	>References </SPAN
2238	><A href="#LinkTarget_2180">
2239	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2240	>Integration Information Model </SPAN
2241	></A>
2242	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2243	>Rev </SPAN
2244	><A href="#LinkTarget_2303">
2245	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2246	>0.6 </SPAN
2247	></A>
2248	</P>
2249	<P style="margin-bottom:15px">
2250	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2251	>Date of Issue:</SPAN
2252	><A href="#LinkTarget_2307">
2253	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2254	> 22 Jul 2006 </SPAN
2255	></A>
2256	<A href="#LinkTarget_2718">
2257	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2258	>Page 14 of 15 </SPAN
2259	></A>
2260	<A href="#LinkTarget_2185">
2261	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2262	>Editors:T Beale </SPAN
2263	></A>
2264	</P>
2265	<P style="margin-bottom:0px; line-height:15px">
2266	<A href="#LinkTarget_2290">
2267	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2268	>© 2003-2007 The openEHR Foundation</SPAN
2269	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2270	>.
2271	</SPAN
2272	></A>
2273	<SPAN>
2274	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2275	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
2276	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2277	>g
2278	</SPAN
2279	></SPAN>
2280	</P>
2281	<P style="text-align:left; margin-bottom:0px">
2282	<A href="#LinkTarget_2180">
2283	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2284	>Integration Information Model </SPAN
2285	></A>
2286	</P>
2287	<P style="margin-bottom:34px">
2288	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2289	>Rev </SPAN
2290	><A href="#LinkTarget_2303">
2291	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2292	>0.6 </SPAN
2293	></A>
2294	</P>
2295	<P style="margin-bottom:608px">
2296	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
2297	>END OF DOCUMEN</SPAN
2298	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:12pt; color:#000000"
2299	>T
2300	</SPAN
2301	></P>
2302	<P style="margin-bottom:15px">
2303	<A href="#LinkTarget_2185">
2304	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2305	>Editors:T Beale </SPAN
2306	></A>
2307	<A href="#LinkTarget_2717">
2308	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2309	>Page 15 of 15 </SPAN
2310	></A>
2311	<SPAN style="font-family:'sans-serif', 'Arial', sans-serif; font-size:9pt; font-weight:normal; color:#000000"
2312	>Date of Issue: </SPAN
2313	><A href="#LinkTarget_2307">
2314	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2315	>22 Jul 2006 </SPAN
2316	></A>
2317	</P>
2318	<P style="margin-bottom:0px; line-height:15px">
2319	<A href="#LinkTarget_2290">
2320	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2321	>© 2003-2007 The openEHR Foundation</SPAN
2322	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2323	>.
2324	</SPAN
2325	></A>
2326	<SPAN>
2327	<SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2328	>email: info@openEHR.org web: http://www.openEHR.or</SPAN
2329	><SPAN style="font-family:'serif', 'Times New Roman'; font-size:9pt; font-weight:normal; color:#000000"
2330	>g
2331	</SPAN
2332	></SPAN>
2333	</P>
2334	</DIV>
2335	</BODY>
2336	</HTML>

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