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141<META
142 name="dc.creator"
143 content="Thomas" >
144<META
145 name="dc.title"
146 content="main.book" >
147<META
148 name="dc.date"
149 content="2004-03-11T13:50:04Z" >
150<META
151 name="dc.date.modified"
152 content="2004-03-11T13:55:27Z" >
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156</HEAD>
157<BODY bgcolor=white text=black link=blue vlink=purple alink=fushia >
158<HR>
159<UL>
160<LI>
161<A href="#LinkTarget_2857">REFERENCE MODEL</A>
162</LI>
163<LI>
164<A href="#LinkTarget_2857">The openEHR EHR Service Model</A>
165<UL>
166<LI>
167<A href="#LinkTarget_2928">1 Introduction</A>
168<UL>
169<LI>
170<A href="#LinkTarget_2930">1.1 Purpose</A>
171</LI>
172<LI>
173<A href="#LinkTarget_2952">1.2 Related Documents</A>
174</LI>
175<LI>
176<A href="#LinkTarget_2968">1.3 Status</A>
177</LI>
178<LI>
179<A href="#LinkTarget_2988">1.4 Peer review</A>
180</LI>
181<LI>
182<A href="#LinkTarget_3011">1.5 Document Structure</A>
183</LI>
184</UL>
185</LI>
186<LI>
187<A href="#LinkTarget_3015">2 Background</A>
188<UL>
189<LI>
190<A href="#LinkTarget_3018">2.1 Requirements</A>
191</LI>
192<LI>
193<A href="#LinkTarget_3067">2.2 Design Experience</A>
194<UL>
195<LI>
196<A href="#LinkTarget_3070">2.2.1 Australian GEHR GPCG Project Experience</A>
197</LI>
198<LI>
199<A href="#LinkTarget_3094">2.2.2 DSTC GEHR Demonstrator</A>
200</LI>
201<LI>
202<A href="#LinkTarget_3117">2.2.3 Prodigy Decision Support System and the vMR</A>
203</LI>
204</UL>
205</LI>
206<LI>
207<A href="#LinkTarget_3121">2.3 EHR Service Interface Standards</A>
208</LI>
209</UL>
210</LI>
211<LI>
212<A href="#LinkTarget_3127">3 Requirements</A>
213<UL>
214<LI>
215<A href="#LinkTarget_3129">3.1 Overview</A>
216</LI>
217<LI>
218<A href="#LinkTarget_3153">3.2 Scenarios</A>
219</LI>
220</UL>
221</LI>
222<LI>
223<A href="#LinkTarget_3182">4 Design Overview</A>
224</LI>
225<LI>
226<A href="#LinkTarget_3242">5 EHR Client API</A>
227<UL>
228<LI>
229<A href="#LinkTarget_3244">5.1 Overview</A>
230</LI>
231<LI>
232<A href="#LinkTarget_3247">5.2 Access</A>
233<UL>
234<LI>
235<A href="#LinkTarget_3249">5.2.1 Secure Login</A>
236</LI>
237<LI>
238<A href="#LinkTarget_3250">5.2.2 Access Control</A>
239</LI>
240<LI>
241<A href="#LinkTarget_3251">5.2.3 Session Management</A>
242</LI>
243</UL>
244</LI>
245<LI>
246<A href="#LinkTarget_3252">5.3 Data Retrieval</A>
247<UL>
248<LI>
249<A href="#LinkTarget_3257">5.3.1 EHR Retrieval</A>
250</LI>
251<LI>
252<A href="#LinkTarget_3258">5.3.2 EHR Querying</A>
253</LI>
254</UL>
255</LI>
256<LI>
257<A href="#LinkTarget_3260">5.4 Data Creation and Modification</A>
258<UL>
259<LI>
260<A href="#LinkTarget_3262">5.4.1 Archetype Retrieval</A>
261</LI>
262<LI>
263<A href="#LinkTarget_3263">5.4.2 Template Creation</A>
264</LI>
265<LI>
266<A href="#LinkTarget_3264">5.4.3 EHR creation, Modification and Committal</A>
267</LI>
268</UL>
269</LI>
270<LI>
271<A href="#LinkTarget_3266">5.5 Pseudonymisation</A>
272</LI>
273</UL>
274</LI>
275<LI>
276<A href="#LinkTarget_3268">6 EHR Service API</A>
277<UL>
278<LI>
279<A href="#LinkTarget_3270">6.1 Overview</A>
280</LI>
281<LI>
282<A href="#LinkTarget_3271">6.2 Transactions</A>
283</LI>
284<LI>
285<A href="#LinkTarget_3272">6.3 Contributions</A>
286</LI>
287</UL>
288</LI>
289<LI>
290<A href="#LinkTarget_3273">G References</A>
291<UL>
292<LI>
293<A href="#LinkTarget_3275">7.1 General</A>
294</LI>
295<LI>
296<A href="#LinkTarget_3315">7.2 European Projects</A>
297</LI>
298<LI>
299<A href="#LinkTarget_3356">7.3 CEN</A>
300</LI>
301<LI>
302<A href="#LinkTarget_3364">7.4 GEHR Australia</A>
303</LI>
304<LI>
305<A href="#LinkTarget_3378">7.5 HL7</A>
306</LI>
307<LI>
308<A href="#LinkTarget_3382">7.6 OMG</A>
309</LI>
310<LI>
311<A href="#LinkTarget_3385">7.7 Software Engineering</A>
312</LI>
313<LI>
314<A href="#LinkTarget_3391">7.8 Resources</A>
315</LI>
316</UL>
317</LI>
318</UL>
319</LI>
320</UL>
321</HR>
322<P>
323<SPAN style="color:#353538"
324>Rev 0.2 </SPAN
325></P>
326<IMG width=387 height=120 style="display:block; float:none" src="images/ehr_sm_img_0.png">
327<IMG width=143 height=88 style="display:block; float:none; text-align:left; margin-bottom:34px" src="images/ehr_sm_img_1.png">
328<P ID="LinkTarget_2857" style="margin-bottom:8px; line-height:32px">
329<SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
330>REFERENCE MODE</SPAN
331><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
332>L
333</SPAN
334><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
335>The </SPAN
336><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-style:italic; font-weight:bold; color:#353538"
337>open</SPAN
338><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
339>EHR </SPAN
340><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#806DA6"
341>EHR </SPAN
342><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
343>Service Mode</SPAN
344><SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-weight:bold; color:#353538"
345>l
346</SPAN
347></P>
348<P style="margin-bottom:8px">
349<SPAN style="font-family:'serif', 'Times', serif; font-size:13.9pt; font-style:italic; color:#353538"
350>Authors:{T Beale, S Heard}</SPAN
351><SPAN style="font-family:'serif', 'Times', serif; font-size:11pt; font-style:italic; color:#353538"
352><Sup>1 </Sup></SPAN
353></P>
354<P style="margin-bottom:224px; line-height:35px">
355<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
356>Revision: </SPAN
357><A href="#LinkTarget_2901">
358<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
359>0.</SPAN
360><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
361>2
362</SPAN
363></A>
364<A href="#LinkTarget_3421">
365<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
366>Pages: 2</SPAN
367><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
368>3
369</SPAN
370></A>
371</P>
372<P style="margin-bottom:47px">
373<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
374>1.</SPAN
375><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
376> Ocean Informatics Australia </SPAN
377></P>
378<P style="margin-bottom:15px; line-height:19px">
379<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
380>© 2003 The </SPAN
381><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
382>open</SPAN
383><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
384>EHR Foundation </SPAN
385></P>
386<DIV class="Part"
387><DIV class="Sect">
388<H2>
389<SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; color:#6A4F84"
390>The </SPAN
391><SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; font-style:italic; color:#6A4F84"
392>open</SPAN
393><SPAN style="font-family:'serif', 'Times', serif; font-size:18pt; color:#6A4F84"
394>EHR foundation </SPAN
395></H2>
396<P style="margin-bottom:33px; line-height:19px">
397<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
398>is an independent, non-profit community, facilitating the creation and sharing of health records by consumers and clinicians via open-source, standards-based implementations. </SPAN
399></P>
400<TABLE>
401<TR>
402<TH style="width:94px; height:14px; background-color:#FAF9F7">
403<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
404>Founding </SPAN
405></TH>
406<TD style="width:399px; height:14px; background-color:#FAF9F7">
407<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
408>David Ingram, Professor of Health Informatics, CHIME, University </SPAN
409></TD>
410</TR>
411<TR>
412<TH style="width:94px; height:21px; background-color:#FAF9F7">
413<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
414>Chairman </SPAN
415></TH>
416<TD style="width:399px; height:21px; background-color:#FAF9F7">
417<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
418>College London </SPAN
419></TD>
420</TR>
421<TR>
422<TH style="vertical-align:middle; width:94px; height:21px; background-color:#FAF9F7">
423<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
424>Founding </SPAN
425></TH>
426<TD style="vertical-align:middle; width:399px; height:21px; background-color:#FAF9F7">
427<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
428>Dr P Schloeffel, Dr S Heard, Dr D Kalra, D Lloyd, T Beale </SPAN
429></TD>
430</TR>
431<TR>
432<TH style="width:94px; height:20px; background-color:#FAF9F7">
433<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
434>Members </SPAN
435></TH>
436<TD style="width:399px; height:20px; background-color:#FAF9F7"/>
437</TR>
438<TR>
439<TH style="vertical-align:bottom; width:94px; height:18px; background-color:#FAF9F7">
440<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; font-weight:bold; color:#6A4F84"
441>Patrons </SPAN
442></TH>
443<TD style="vertical-align:bottom; width:399px; height:18px; background-color:#FAF9F7">
444<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#6A4F84"
445>To Be Announced </SPAN
446></TD>
447</TR>
448</TABLE>
449<P style="margin-bottom:52px">
450<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
451>email</SPAN
452><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
453>: info@openEHR.org </SPAN
454><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
455>web</SPAN
456><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
457>: http://www.openEHR.org </SPAN
458></P>
459</DIV>
460<P style="margin-bottom:15px">
461<SPAN style="color:#353538"
462>Authors:{T Beale, S Heard} Page 1 of 23 Date of Issue: </SPAN
463><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
464>25 Feb 2003 </SPAN
465></P>
466<DIV class="Sect">
467<P style="margin-bottom:0px">
468<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
469>© 2003 The openEHR Foundation </SPAN
470></P>
471<P style="text-align:justify">
472<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
473>Amendment Record </SPAN
474></P>
475</DIV>
476<TABLE style="margin-bottom:14px">
477<TR>
478<TH style="text-align:center; vertical-align:middle; width:105px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
479<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
480>Issue </SPAN
481></TH>
482<TH style="vertical-align:middle; width:354px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
483<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
484>Details </SPAN
485></TH>
486<TH style="text-align:center; vertical-align:middle; width:87px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
487<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
488>Who </SPAN
489></TH>
490<TH style="text-align:center; vertical-align:middle; width:104px; height:33px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px 1px 4px 1px">
491<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
492>Date </SPAN
493></TH>
494</TR>
495<TR>
496<TD style="text-align:center; width:105px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
497<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
498>0.2 </SPAN
499></TD>
500<TD style="vertical-align:middle; width:354px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
501<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
502>Initial phase of rewrite based on various inputs including Prod</SPAN
503><SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
504></SPAN
505><SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
506>igy APIs, CEN HISA specifications etc. </SPAN
507></TD>
508<TD style="text-align:center; width:87px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
509<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
510>T Beale </SPAN
511></TD>
512<TD style="text-align:center; width:104px; height:41px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:4px 1px 1px 1px">
513<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
514>25 Feb 2003 </SPAN
515></TD>
516</TR>
517<TR>
518<TD style="text-align:center; vertical-align:middle; width:105px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
519<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
520>0.1 </SPAN
521></TD>
522<TD style="vertical-align:middle; width:354px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
523<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
524>Initial Writing </SPAN
525></TD>
526<TD style="text-align:center; vertical-align:middle; width:87px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
527<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
528>T Beale </SPAN
529></TD>
530<TD style="text-align:center; vertical-align:middle; width:104px; height:27px; background-color:#FAF9F7; border-style:solid; border-color:#000000; border-width:1px">
531<SPAN style="font-family:'serif', 'Times', serif; font-size:9.8pt; color:#353538"
532>8 Jan 2003 </SPAN
533></TD>
534</TR>
535</TABLE>
536<DIV class="Sect">
537<DIV class="Sect">
538<H4>
539<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
540>Acknowledgements </SPAN
541></H4>
542<P style="text-align:justify; margin-bottom:8px">
543<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
544>Thanks to... </SPAN
545></P>
546</DIV>
547<P style="text-align:justify; margin-bottom:0px; line-height:19px">
548<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
549>The work reported in this paper has been funded in by a number of organisations, including The Uni</SPAN
550><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
551></SPAN
552><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
553>versity College, London. </SPAN
554></P>
555<DIV class="Sect">
556<P style="margin-bottom:0px">
557<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
558>Items To Be Determined </SPAN
559></P>
560</DIV>
561<P style="margin-bottom:0px">
562<A href="#LinkTarget_2991">
563<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
564>TBD_1:(example To Be Determined paragraph) ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </SPAN
565><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
566>7
567</SPAN
568></A>
569</P>
570</DIV>
571</DIV>
572<DIV class="Part"
573><H2 ID="LinkTarget_2928" style="text-align:justify; margin-bottom:25px; margin-left:72px">
574<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
575>Introduction </SPAN
576></H2>
577<DIV class="Sect">
578<H3 ID="LinkTarget_2930">
579<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
580>1.1 </SPAN
581><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
582>Purpose </SPAN
583></H3>
584<P style="text-align:justify; margin-bottom:8px; line-height:19px">
585<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
586>This document describes the </SPAN
587><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
588>open</SPAN
589><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
590>EHR EHR Service Model, which defines both the application pro</SPAN
591><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
592></SPAN
593><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
594>grammer interface (API) to the EHR for applications developers, and the interface for other services. </SPAN
595></P>
596<P style="text-align:justify; margin-bottom:8px; line-height:19px">
597<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
598>The intended audience includes: </SPAN
599></P>
600<ul style="list-style-type:disc">
601<LI>
602<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
603>Standards bodies producing health informatics standards </SPAN
604></LI>
605<LI>
606<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
607>Software development groups using </SPAN
608><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
609>open</SPAN
610><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
611>EHR </SPAN
612></LI>
613<LI>
614<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
615>Academic groups using </SPAN
616><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
617>open</SPAN
618><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
619>EHR </SPAN
620></LI>
621<LI style="margin-bottom:21px">
622<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
623>The open source healthcare community </SPAN
624></LI>
625</ul>
626</DIV>
627<DIV class="Sect">
628<H3 ID="LinkTarget_2952">
629<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
630>1.2 </SPAN
631><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
632>Related Documents </SPAN
633></H3>
634<P style="text-align:justify; margin-bottom:8px; line-height:19px">
635<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
636>Prerequisite documents for reading this document include: </SPAN
637></P>
638<ul style="list-style-type:disc">
639<LI>
640<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
641>The </SPAN
642><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
643>open</SPAN
644><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
645>EHR Roadmap </SPAN
646></LI>
647<LI>
648<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
649>The </SPAN
650><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
651>open</SPAN
652><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
653>EHR Data Types Reference Model </SPAN
654></LI>
655<LI style="margin-bottom:21px">
656<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
657>The other </SPAN
658><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
659>open</SPAN
660><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
661>EHR Reference Models </SPAN
662></LI>
663</ul>
664</DIV>
665<DIV class="Sect">
666<H3 ID="LinkTarget_2968">
667<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
668>1.3 </SPAN
669><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
670>Status </SPAN
671></H3>
672<P style="text-align:justify; margin-bottom:8px; line-height:19px">
673<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
674>This document is under development, and will be published as a proposal for input to standards proc</SPAN
675><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
676></SPAN
677><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
678>esses and implementation works. </SPAN
679></P>
680<P style="text-align:justify; margin-bottom:8px; line-height:19px">
681<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
682>Future changes will include: </SPAN
683></P>
684<ul style="list-style-type:disc">
685<LI style="line-height:19px">
686<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
687>Currently the UML diagrams are hand-produced. In the next version, the Rational Rose rep</SPAN
688><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
689></SPAN
690><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
691>resentation will replace these. </SPAN
692></LI>
693<LI style="margin-bottom:8px; line-height:19px">
694<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
695>Specific design principles will be referred to throughout the model text, so that readers can easily find the theoretical discussion on which any part of the model is based. </SPAN
696></LI>
697</ul>
698<P style="text-align:justify; margin-bottom:21px; line-height:19px">
699<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
700>The latest version of this document can be found in PDF and HTML formats at </SPAN
701><SPAN style=" font-weight:normal; text-decoration:underline"
702><A href="http://www.openEHR.org/Doc_html/Model/Reference/ehr_svc.htm">
703<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
704>http://www.openEHR.org/Doc_html/Model/Reference/ehr_svc.htm</SPAN
705></A>
706</SPAN
707><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
708>. New versions are announced on </SPAN
709><SPAN style=" font-weight:normal; text-decoration:underline"
710><A href="mailto:openehr-technical@openehr.org">
711<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
712>openehr-announce@openehr.org</SPAN
713></A>
714</SPAN
715><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
716>. </SPAN
717></P>
718</DIV>
719<DIV class="Sect">
720<H3 ID="LinkTarget_2988">
721<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
722>1.4 </SPAN
723><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
724>Peer review </SPAN
725></H3>
726<P style="text-align:justify; margin-bottom:8px; line-height:19px">
727<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
728>Known omissions or questions are indicated in the text with a “to be determined” paragraph, as fol</SPAN
729><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
730></SPAN
731><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
732>lows: </SPAN
733></P>
734<P style="text-align:justify; margin-bottom:8px; line-height:19px">
735<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; font-style:italic; color:#6A4F84"
736>TBD_1</SPAN
737><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; font-style:italic; color:#6A4F84"
738>: </SPAN
739><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#6A4F84"
740>(example To Be Determined paragraph</SPAN
741><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#6A4F84"
742>)
743</SPAN
744></P>
745<P style="text-align:justify; margin-bottom:8px; line-height:19px">
746<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
747>Areas where more analysis or explanation is required are indicated with “to be continued” paragraphs like the following: </SPAN
748></P>
749<P style="text-align:justify; margin-bottom:8px; line-height:19px">
750<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
751>To Be Continued: more work require</SPAN
752><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
753>d
754</SPAN
755></P>
756<P style="text-align:justify; margin-bottom:0px; line-height:19px">
757<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
758>Reviewers are encouraged to comment on and/or advise on these paragraphs as well as the main con</SPAN
759><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
760></SPAN
761><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
762>tent. Please send requests for information to </SPAN
763><SPAN style=" font-weight:normal; text-decoration:underline"
764><A href="mailto:info@gehr.org">
765<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
766>info@openEHR.org</SPAN
767></A>
768</SPAN
769><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
770>. Feedback should preferably be </SPAN
771></P>
772<TABLE style="margin-bottom:0px">
773<TR>
774<TH colspan=2 style="width:363px; height:32px; background-color:#FAF9F7">
775<SPAN style="color:#353538"
776>Introduction </SPAN
777><SPAN style="color:#353538"
778>Rev 0.2 </SPAN
779></TH>
780<TH style="width:285px; height:32px; background-color:#FAF9F7">
781<SPAN style="color:#353538"
782>The openEHR EHR Service Model </SPAN
783></TH>
784</TR>
785<TR>
786<TH colspan=2 style="vertical-align:middle; width:363px; height:59px; background-color:#FAF9F7">
787<A href="mailto:openehr-clinical@openehr.org">
788<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
789>discussed on one of the appropriate mailing lists, </SPAN
790><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
791>openehr-clinical@openehr.org</SPAN
792><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
793>. </SPAN
794></A>
795</TH>
796<TD style="width:285px; height:59px; background-color:#FAF9F7">
797<A href="mailto:openehr-technical@openehr.org">
798<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
799>openehr-technical@openehr.org</SPAN
800><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
801> or </SPAN
802></A>
803</TD>
804</TR>
805<TR>
806<TH ID="LinkTarget_3011" style="vertical-align:bottom; width:51px; height:29px; background-color:#FAF9F7">
807<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
808>1.5 </SPAN
809></TH>
810<TD style="vertical-align:bottom; width:312px; height:29px; background-color:#FAF9F7">
811<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
812>Document Structure </SPAN
813></TD>
814<TD style="text-align:center; width:285px; height:29px; background-color:#FAF9F7"/>
815</TR>
816</TABLE>
817</DIV>
818</DIV>
819<DIV class="Part"
820><H2 ID="LinkTarget_3015" style="text-align:justify; margin-bottom:15px; margin-left:72px">
821<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
822>Background </SPAN
823></H2>
824<P style="text-align:justify; margin-bottom:21px; line-height:19px">
825<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
826>This section describes the inputs to the modelling process which created the </SPAN
827><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
828>open</SPAN
829><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
830>EHR Reference Model. </SPAN
831></P>
832<DIV class="Sect">
833<H3 ID="LinkTarget_3018">
834<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
835>2.1 </SPAN
836><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
837>Requirements </SPAN
838></H3>
839<P style="text-align:justify; margin-bottom:8px; line-height:19px">
840<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
841>There are various sets of requirements which inform this model, which may be categorised as fol</SPAN
842><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
843></SPAN
844><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
845>lows: </SPAN
846></P>
847<ul style="list-style-type:disc">
848<LI>
849<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
850>archetype retrieval and template creation </SPAN
851></LI>
852<LI>
853<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
854>EHR creation, modification and committal </SPAN
855></LI>
856<LI>
857<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
858>EHR retrieval </SPAN
859></LI>
860<LI>
861<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
862>EHR querying </SPAN
863></LI>
864<LI>
865<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
866>Secure login and access control </SPAN
867></LI>
868<LI>
869<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
870>Session management </SPAN
871></LI>
872<LI>
873<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
874>Pseudonymisation - de-identification </SPAN
875></LI>
876</ul>
877<P style="text-align:justify; margin-bottom:8px; line-height:19px">
878<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
879>To Be Continued</SPAN
880><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
881>:
882</SPAN
883></P>
884<P style="text-align:justify; margin-bottom:8px; line-height:19px">
885<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
886>Requirements relate to the following categories of users: </SPAN
887></P>
888<ul style="list-style-type:disc">
889<LI style="line-height:19px">
890<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
891>primary users, i.e. clinical carers or the patient themselves. The mode of access is “single EHR per session”; </SPAN
892></LI>
893<LI style="line-height:19px">
894<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
895>secondary users, i.e. users who interrogate populations of EHRs to find trends or generate lists of patients. These users may be inside and HCF, and determining lists of patients for recalls or other kinds of contacts, or they may be external researchers who are only allowed de-identified access. The mode of access here is “multiple EHRs per session”; </SPAN
896></LI>
897<LI style="margin-bottom:21px; line-height:19px">
898<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
899>software agents and applications, such as decision support systems, recall managers, research applications. </SPAN
900></LI>
901</ul>
902</DIV>
903<DIV class="Sect">
904<H3 ID="LinkTarget_3067">
905<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
906>2.2 </SPAN
907><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
908>Design Experience </SPAN
909></H3>
910<P style="text-align:justify; margin-bottom:15px; line-height:19px">
911<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
912>A number of projects contributed to the design approach used here, as documented in the following sections. </SPAN
913></P>
914<DIV class="Sect">
915<H3 ID="LinkTarget_3070" style="margin-bottom:0px">
916<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
917>2.2.1 </SPAN
918><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
919>Australian GEHR GPCG Project Experience </SPAN
920></H3>
921<P style="text-align:justify; margin-bottom:8px; line-height:19px">
922<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
923>The Australian Good Electronic Health Record (GEHR) project (2000 - mid 2001; see </SPAN
924><SPAN style=" font-weight:normal; text-decoration:underline"
925><A href="http://www.gehr.org">
926<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
927>http://www.gehr.org</SPAN
928></A>
929</SPAN
930><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
931>) funded by the Royal Australian College of GPs (RACGP) General Prac</SPAN
932><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
933></SPAN
934><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
935>tice Computing Group (GPCG) was the first project in which an archetype-based EHR server was built. The back-end included an EHR server, an archetype server, an archetype initialiser, a demo</SPAN
936><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
937></SPAN
938><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
939>graphic server, and a simple text-file terminology server. These were all built in Eiffel with Java being used in the Archetype Initialiser. The front end consisted of a VB6 application which created and retrieved EHRs, using archetypes actively. The “kernel” - the core part of the EHR server was the first implementation of an “archetype inference engine”, i.e. a component whose job is to use archetypes (knowledge artifacts) to create and validate information. </SPAN
940></P>
941<P style="text-align:left; margin-bottom:8px; line-height:19px">
942<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
943>This project led to an interface being built to each server, including the EHR and archetype servers. This interface allowed the creation, modification, and retrieval of EHRs, Transactions and smaller parts of the EHR. The API developed during this experience provided a valuable insight into what the </SPAN
944><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
945>interface to the EHR of the future might look like, and in particular influenced the following areas of the service model defined in this document: </SPAN
946></P>
947<ul style="list-style-type:disc">
948<LI style="text-align:left; margin-bottom:0px; margin-left:60px">
949<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
950>archetype server interface; </SPAN
951></LI>
952<LI style="text-align:left; margin-left:60px; line-height:22px">
953<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
954>EHR modification interface, includin</SPAN
955><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
956>g
957</SPAN
958><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
959>-</SPAN
960><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
961>archetype retrieval &amp; template building</SPAN
962><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
963>;
964</SPAN
965><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
966>-</SPAN
967><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
968>session contro</SPAN
969><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
970>l
971</SPAN
972></LI>
973<LI style="text-align:left; margin-bottom:15px; margin-left:60px">
974<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
975>the application view of the EHR server. </SPAN
976></LI>
977</ul>
978</DIV>
979<DIV class="Sect">
980<H3 ID="LinkTarget_3094" style="text-align:left; margin-bottom:0px">
981<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
982>2.2.2 </SPAN
983><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
984>DSTC GEHR Demonstrator </SPAN
985></H3>
986<P style="text-align:left; margin-bottom:8px; line-height:19px">
987<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
988>The DSTC Titanium group developed a multi-node virtual EHR system, in which EHRs for a given patient could exist on any number of servers. The client application was capable of viewing the vir</SPAN
989><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
990></SPAN
991><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
992>tual EHR, using filtering and basic security. In this case, XML and Java technology were used. The DSTC also developed the archetype editor used by both the GPCG Eiffel-based project and the DSTC demonstrator. </SPAN
993></P>
994<P style="text-align:left; margin-bottom:8px; line-height:19px">
995<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
996>The demonstrator has provided experience in the following aspects of an EHR system interface: </SPAN
997></P>
998<ul style="list-style-type:disc">
999<LI style="text-align:left; margin-left:60px">
1000<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1001>retrieval of the virtual EHR from numerous physical nodes; </SPAN
1002></LI>
1003<LI style="text-align:left; margin-left:60px">
1004<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1005>querying; </SPAN
1006></LI>
1007<LI style="text-align:left; margin-left:60px">
1008<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1009>filtering; </SPAN
1010></LI>
1011<LI style="text-align:left; margin-left:60px">
1012<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1013>secure login and access control; </SPAN
1014></LI>
1015<LI style="text-align:left; margin-left:60px">
1016<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1017>multiple simultaneous users. </SPAN
1018></LI>
1019</ul>
1020<P style="text-align:left; margin-bottom:15px; line-height:19px">
1021<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1022>To Be Continued</SPAN
1023><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1024>:
1025</SPAN
1026></P>
1027</DIV>
1028<DIV class="Sect">
1029<H3 ID="LinkTarget_3117" style="text-align:left; margin-bottom:0px">
1030<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1031>2.2.3 </SPAN
1032><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1033>Prodigy Decision Support System and the vMR </SPAN
1034></H3>
1035<P style="text-align:left; margin-bottom:21px; line-height:19px">
1036<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1037>To Be Continued</SPAN
1038><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1039>:
1040</SPAN
1041></P>
1042</DIV>
1043</DIV>
1044<DIV class="Sect">
1045<H3 ID="LinkTarget_3121" style="text-align:left">
1046<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1047>2.3 </SPAN
1048><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1049>EHR Service Interface Standards </SPAN
1050></H3>
1051<P style="text-align:left; margin-bottom:0px; margin-left:192px; text-indent:-191px; line-height:19px">
1052<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1053>To Be Continued</SPAN
1054><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1055>: </SPAN
1056><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1057>relationship to OMG COAS / orders models shoul</SPAN
1058><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1059>d
1060</SPAN
1061><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1062>be described </SPAN
1063><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:12pt; color:#DA5988"
1064>.
1065</SPAN
1066></P>
1067</DIV>
1068</DIV>
1069<DIV class="Part"
1070><H2 ID="LinkTarget_3127" style="text-align:justify; margin-bottom:25px; margin-left:72px">
1071<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
1072>Requirements </SPAN
1073></H2>
1074<DIV class="Sect">
1075<H3 ID="LinkTarget_3129">
1076<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1077>3.1 </SPAN
1078><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1079>Overview </SPAN
1080></H3>
1081<P style="text-align:justify; margin-bottom:21px; line-height:19px">
1082<A href="#LinkTarget_3133">
1083<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1084>FIGURE 1 illustrates a typical community shared care context. There are two places health record </SPAN
1085></A>
1086<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1087>systems might be used: at the community level, that is, inter-provider, and within providers. The first kind of a record -a shared care record (longitudinal, comprehensive, patient-centred) -is classified by ISO (TS 18308) as an “EHR”, or Electronic Health Record. Some providers also have intra-provider records (episodic, institution-centred) which are usually known as EMRs (Electronic Medical Records) or EPRs (Electronic Patient Records). Others need to connect directly with the EHR. Within larger health system contexts -provinces and nations - there may also be so-called “summary health records”, or “health summaries”. The figure shows the shared care EHR as if it is located within a geographical community, but this need not be so: mobile patients such as health workers, entertainers, athletes and the military may well be represented in the same kind of system (from an IT point of view), where the contributing providers are located all over the world. Essentially, the only difference between the two is the network deployment. </SPAN
1088></P>
1089<IMG width=523 height=344 style="display:block; float:none; text-align:center; margin-bottom:22px" src="images/ehr_sm_img_2.png">
1090<P style="margin-bottom:15px; line-height:19px">
1091<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
1092>FIGURE 1 </SPAN
1093><SPAN style="font-size:12pt; color:#353538"
1094>Community Shared Care Context </SPAN
1095></P>
1096<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1097<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1098>Health record systems built according to </SPAN
1099><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1100>open</SPAN
1101><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1102>EHR and related specifications could be used in any of these three locations; the health record at each level will then be in exactly the same technology and logical data format, and differ only in content, for example as follows. </SPAN
1103></P>
1104<ul style="list-style-type:disc">
1105<LI style="line-height:19px">
1106<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1107>EPR/EMR: contents reflect only certain episodes, and possibly particular medical special</SPAN
1108><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1109></SPAN
1110><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1111>ties, but in the greatest level of detail (outside of dedicated imaging and other monitoring systems). </SPAN
1112></LI>
1113<LI style="margin-bottom:0px; line-height:19px">
1114<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1115>EHR: contents reflect all episodes in all providers in the community, and all medical spe</SPAN
1116><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1117></SPAN
1118><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1119>cialties, but may be somewhat summarised, with certain intermediate details of care during certain episodes not included or greatly summarised. The EHR needed by all providers in </SPAN
1120></LI>
1121</ul>
1122<P style="text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
1123<SPAN style="font-family:'serif', 'Times', serif; font-size:6.9pt; color:#353538"
1124>• </SPAN
1125><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1126>Health Summary: contents probably include only core information that is needed for acci</SPAN
1127><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1128></SPAN
1129><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1130>dent/emergency care admissions, such as basic data (blood type, age, sex), major problems, therapeutic precautions (allergies, cultural preferences) and so on. </SPAN
1131></P>
1132<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1133<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1134>Care events that happen while a patient is out of his or her usual context (on holiday, at a conference) will most likely initially be recorded in an EMR system not connected to the health information envi</SPAN
1135><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1136></SPAN
1137><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1138>ronment containing the principal instance of the patient’s EHR. To perform the care, the provider in question will need to be able to obtain an extract from the patient’s primary EHR; for the latter to be kept up to date, an extract will need to be sent back containing details of the foreign care event. Such interactions are mediated by a Health Information Location service (of the kind defined by the OMG HILS specification for example). </SPAN
1139></P>
1140<P style="text-align:justify; margin-bottom:21px; line-height:19px">
1141<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1142>Of the three kinds of record system, the first two - the EMR and EHR - are care-oriented, and will have user software applications accessing and writing to them. Summary EHR systems will most likely have write access due to uploading of EHR Extracts, and read access. </SPAN
1143></P>
1144</DIV>
1145<DIV class="Sect">
1146<H3 ID="LinkTarget_3153">
1147<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1148>3.2 </SPAN
1149><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1150>Scenarios </SPAN
1151></H3>
1152<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1153<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1154>The system interfaces covered by this specification include the following: </SPAN
1155></P>
1156<ul style="list-style-type:disc">
1157<LI style="margin-right:176px; margin-left:60px">
1158<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1159>user (client) to EHR or EMR server (real-time read/write per patient record) </SPAN
1160></LI>
1161<LI style="margin-right:176px; margin-left:60px; line-height:19px">
1162<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1163>query interface to EHR or EMR (real-time or batched access to multiple records, including pseudonymisation capability) </SPAN
1164></LI>
1165<LI style="margin-right:176px; margin-left:60px">
1166<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1167>EMR server to EHR server (publishing with summarisation) </SPAN
1168></LI>
1169<LI style="margin-right:176px; margin-left:60px">
1170<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1171>EHR server to Summary server (publishing with summarisation) </SPAN
1172></LI>
1173<LI style="margin-right:176px; margin-left:60px">
1174<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1175>EHR to EHR Server (synchronisation or move of patient record) </SPAN
1176></LI>
1177<LI style="margin-bottom:8px; margin-right:176px; margin-left:60px">
1178<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1179>EMR or EHR to HILS (publishing) </SPAN
1180></LI>
1181</ul>
1182<P style="text-align:justify; margin-bottom:0px; line-height:19px">
1183<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1184>This specification describes formal, functional interfaces between systems which correspond to these scenarios. </SPAN
1185></P>
1186</DIV>
1187</DIV>
1188<DIV class="Part"
1189><H2 ID="LinkTarget_3182" style="text-align:justify; margin-bottom:15px; margin-left:72px">
1190<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
1191>Design Overview </SPAN
1192></H2>
1193<P style="text-align:justify; margin-bottom:21px; line-height:19px">
1194<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1195>Although this specification does not seek to describe particular architectures, it is worth considering </SPAN
1196><A href="#LinkTarget_3193">
1197<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1198>some generic architectural aspects as a way of understand the interfaces that follow. FIGURE 2 shows </SPAN
1199></A>
1200<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1201>some aspects of a 4-tier architecture, fairly typical in large systems today. </SPAN
1202></P>
1203<TABLE style="margin-bottom:15px">
1204<TR>
1205<TH style="vertical-align:middle; width:102px; height:31px; background-color:#C9D3D7; border-style:solid; border-color:#000000; border-width:1px 1px 2px 1px">
1206<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
1207>Presentation </SPAN
1208></TH>
1209</TR>
1210<TR>
1211<TH style="vertical-align:middle; width:102px; height:31px; background-color:#9AA6AB; border-style:solid; border-color:#000000; border-width:2px 1px 1px 1px">
1212<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
1213>Application </SPAN
1214></TH>
1215</TR>
1216<TR>
1217<TH style="vertical-align:middle; width:102px; height:31px; background-color:#6A4F84; border-style:solid; border-color:#000000; border-width:1px">
1218<SPAN style="font-size:12pt; font-weight:bold; color:#F9F8F7"
1219>EHR Client </SPAN
1220></TH>
1221</TR>
1222</TABLE>
1223<IMG width=631 height=476 style="display:block; float:none; text-align:center; margin-bottom:9px" src="images/ehr_sm_img_3.png">
1224<P style="margin-bottom:15px">
1225<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
1226>FIGURE 2 </SPAN
1227><SPAN style="font-size:12pt; color:#353538"
1228>Generic EHR System Architecture </SPAN
1229></P>
1230<P style="text-align:justify; margin-bottom:8px">
1231<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1232>The tiers are: </SPAN
1233></P>
1234<ul style="list-style-type:disc">
1235<LI>
1236<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1237>presentation (light grey ‘presentation’ box); </SPAN
1238></LI>
1239<LI>
1240<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1241>application logic (dark grey ‘application’ boxes); </SPAN
1242></LI>
1243<LI style="line-height:19px">
1244<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1245>enterprise services (where ‘enterprise’ means ‘data manager’): EHR, identity, demograph</SPAN
1246><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1247></SPAN
1248><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1249>ics, knowledge management, security and others; </SPAN
1250></LI>
1251<LI style="margin-bottom:8px">
1252<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1253>persistence. </SPAN
1254></LI>
1255</ul>
1256<P style="text-align:justify; margin-bottom:8px; line-height:19px">
1257<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1258>In such architectures the last two layers are usually colocated in a secure health information environ</SPAN
1259><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1260></SPAN
1261><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1262>ment. The following possibilities exist for application users: </SPAN
1263></P>
1264<ul style="list-style-type:disc">
1265<LI style="line-height:19px">
1266<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1267>local users have both application and presentation layers within the same secure environ</SPAN
1268><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1269></SPAN
1270><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1271>ment as the services; </SPAN
1272></LI>
1273<LI style="margin-bottom:0px; line-height:19px">
1274<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1275>some remote users (“thick clients”) will have both application and presentation layers on their own computer; </SPAN
1276></LI>
1277</ul>
1278<P style="text-align:justify; margin-bottom:8px; margin-left:60px; text-indent:-23px; line-height:19px">
1279<SPAN style="font-family:'serif', 'Times', serif; font-size:6.9pt; color:#353538"
1280>• </SPAN
1281><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1282>some remote users (“thin clients”) will have presentation layer only on their own computer, with “their” application residing in the server environment. </SPAN
1283></P>
1284<P style="text-align:justify; margin-bottom:37px; line-height:19px">
1285<A href="#LinkTarget_3193">
1286<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1287>The blue “EHR Client” boxes in FIGURE 2 provide the interface between applications and the back </SPAN
1288></A>
1289<A href="#LinkTarget_3240">
1290<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1291>end services. Using the more precise illustration in FIGURE 3, the interfaces which concern us here </SPAN
1292></A>
1293<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1294>are those exposed by the EHR Client component to an application, and those exposed by the EHR service (both interfaces shown in magenta). The following sections describe these in detail. </SPAN
1295></P>
1296<P style="text-align:left; margin-bottom:15px; margin-left:14px; line-height:18px">
1297<SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1298>EHR client API </SPAN
1299></P>
1300<DIV class="Sect">
1301<H4 style="text-align:left; margin-bottom:-17px">
1302<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
1303>Compositions </SPAN
1304></H4>
1305<P style="margin-bottom:15px">
1306<SPAN style="font-size:12pt; font-weight:bold; color:#353538"
1307>Contributions / Transactions </SPAN
1308></P>
1309<P style="margin-right:455px; line-height:18px">
1310<SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1311>EH</SPAN
1312><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1313>R
1314</SPAN
1315><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1316>Servic</SPAN
1317><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1318>e
1319</SPAN
1320><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1321>Client AP</SPAN
1322><SPAN style="font-size:12pt; font-weight:bold; color:#6A4F84"
1323>I
1324</SPAN
1325></P>
1326<IMG width=471 height=205 style="display:block; float:none; text-align:center; margin-bottom:20px; margin-left:73px" src="images/ehr_sm_img_4.png">
1327<IMG width=112 height=79 style="display:block; float:none; margin-bottom:20px" src="images/ehr_sm_img_5.png">
1328<P style="margin-bottom:0px">
1329<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
1330>FIGURE 3 </SPAN
1331><SPAN style="font-size:12pt; color:#353538"
1332>EHR Client and Service APIs </SPAN
1333></P>
1334</DIV>
1335</DIV>
1336<DIV class="Part"
1337><H2 ID="LinkTarget_3242" style="text-align:justify; margin-bottom:25px; margin-left:72px">
1338<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
1339>EHR Client API </SPAN
1340></H2>
1341<DIV class="Sect">
1342<H3 ID="LinkTarget_3244">
1343<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1344>5.1 </SPAN
1345><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1346>Overview </SPAN
1347></H3>
1348<P style="text-align:justify; margin-bottom:21px; line-height:19px">
1349<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1350>Because the EHR Client is where information is integrated from distinct back-end services such as EHR, identity, demographics, and security, the EHR Client API reflects to some extent the APIs of not only the EHR service, but also these other services. </SPAN
1351></P>
1352</DIV>
1353<DIV class="Sect">
1354<H3 ID="LinkTarget_3247" style="margin-bottom:15px">
1355<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1356>5.2 </SPAN
1357><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1358>Access </SPAN
1359></H3>
1360<DIV class="Sect">
1361<H3 ID="LinkTarget_3249" style="margin-bottom:15px">
1362<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1363>5.2.1 </SPAN
1364><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1365>Secure Login </SPAN
1366></H3>
1367<P ID="LinkTarget_3250" style="text-align:justify; margin-bottom:15px">
1368<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1369>5.2.2 </SPAN
1370><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1371>Access Control </SPAN
1372></P>
1373<P ID="LinkTarget_3251" style="text-align:justify">
1374<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1375>5.2.3 </SPAN
1376><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1377>Session Management </SPAN
1378></P>
1379<P ID="LinkTarget_3252" style="text-align:justify; margin-bottom:90px">
1380<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1381>5.3 </SPAN
1382><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1383>Data Retrieval </SPAN
1384></P>
1385<IMG width=591 height=281 style="display:block; float:none; text-align:center; margin-bottom:169px" src="images/ehr_sm_img_6.png">
1386<P style="margin-bottom:0px">
1387<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
1388>FIGURE </SPAN
1389><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
1390>4
1391</SPAN
1392></P>
1393</DIV>
1394<DIV class="Sect">
1395<H3 ID="LinkTarget_3257" style="margin-bottom:15px">
1396<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1397>5.3.1 </SPAN
1398><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1399>EHR Retrieval </SPAN
1400></H3>
1401<P ID="LinkTarget_3258" style="text-align:justify">
1402<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1403>5.3.2 </SPAN
1404><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1405>EHR Querying </SPAN
1406></P>
1407</DIV>
1408</DIV>
1409<DIV class="Sect">
1410<H3 ID="LinkTarget_3260" style="margin-bottom:15px">
1411<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1412>5.4 </SPAN
1413><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1414>Data Creation and Modification </SPAN
1415></H3>
1416<DIV class="Sect">
1417<H3 ID="LinkTarget_3262" style="margin-bottom:15px">
1418<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1419>5.4.1 </SPAN
1420><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1421>Archetype Retrieval </SPAN
1422></H3>
1423<P ID="LinkTarget_3263" style="text-align:justify; margin-bottom:15px">
1424<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1425>5.4.2 </SPAN
1426><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1427>Template Creation </SPAN
1428></P>
1429<P ID="LinkTarget_3264" style="text-align:justify">
1430<SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1431>5.4.3 </SPAN
1432><SPAN style="font-size:13.9pt; font-weight:bold; color:#353538"
1433>EHR creation, Modification and Committal </SPAN
1434></P>
1435</DIV>
1436</DIV>
1437<DIV class="Sect">
1438<H3 ID="LinkTarget_3266" style="margin-bottom:0px">
1439<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1440>5.5 </SPAN
1441><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1442>Pseudonymisation </SPAN
1443></H3>
1444</DIV>
1445</DIV>
1446<DIV class="Part"
1447><H2 ID="LinkTarget_3268" style="text-align:justify; margin-bottom:25px; margin-left:72px">
1448<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
1449>EHR Service API </SPAN
1450></H2>
1451<DIV class="Sect">
1452<H3 ID="LinkTarget_3270" style="margin-bottom:25px">
1453<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1454>6.1 </SPAN
1455><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1456>Overview </SPAN
1457></H3>
1458<P ID="LinkTarget_3271" style="text-align:; margin-right:9px">
1459<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1460>6.2 </SPAN
1461><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1462>Transactions </SPAN
1463></P>
1464<P ID="LinkTarget_3272" style="margin-bottom:0px">
1465<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1466>6.3 </SPAN
1467><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1468>Contributions </SPAN
1469></P>
1470<P ID="LinkTarget_3273" style="text-align:justify">
1471<SPAN style="font-size:18pt; font-weight:bold; color:#353538"
1472>G References </SPAN
1473></P>
1474<DIV class="Sect">
1475<H3 ID="LinkTarget_3275" style="margin-bottom:25px">
1476<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1477>7.1 </SPAN
1478><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1479>General </SPAN
1480></H3>
1481<P style="line-height:19px">
1482<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1483>Doc No:Berners-Lee T. &quot;Universal Resource Identifiers in WWW&quot;. Available at </SPAN
1484><SPAN style=" font-weight:normal; text-decoration:underline"
1485><A href="http://www.ietf.org/rfc/rfc2396.txt">
1486<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
1487>ht</SPAN
1488><SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
1489></SPAN
1490></A>
1491<A href="http://www.ietf.org/rfc/rfc2396.txt">
1492<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
1493>tp://www.ietf.org/rfc/rfc2396.txt</SPAN
1494></A>
1495</SPAN
1496><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1497>. This is a World-Wide Web RFC for global identifi</SPAN
1498><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1499></SPAN
1500><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1501>cation of resources. In current use on the web, e.g. by Mosaic, Netscape and similar tools. See </SPAN
1502><SPAN style=" font-weight:normal; text-decoration:underline"
1503><A href="http://www.w3.org/Addressing">
1504<SPAN style="font-family:'monospace', 'Courier', monospace; font-size:10.8pt; color:#6A4F84"
1505>http://www.w3.org/Addressing</SPAN
1506></A>
1507</SPAN
1508><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1509> for a starting point on URIs. </SPAN
1510></P>
1511<P style="line-height:19px">
1512<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1513>Doc No:Beale T. </SPAN
1514><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1515>Archetypes: Constraint-based Domain Models for Future-proof Information Systems</SPAN
1516><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1517>.
1518</SPAN
1519><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1520>See </SPAN
1521><SPAN style=" font-weight:normal; text-decoration:underline"
1522><A href="http://www.deepthought.com.au/it/archetypes.html">
1523<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1524>http://www.deepthought.com.au/it/archetypes.html</SPAN
1525></A>
1526</SPAN
1527><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1528>.
1529</SPAN
1530></P>
1531<P style="line-height:19px">
1532<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1533>Doc No:Beale T </SPAN
1534><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1535>et al</SPAN
1536><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1537>. </SPAN
1538><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1539>Design Principles for the EHR</SPAN
1540><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1541>. See </SPAN
1542><SPAN style=" font-weight:normal; text-decoration:underline"
1543><A href="http://www.deepthought.com.au/it/archetypes.html">
1544<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1545>http://www.deepthought.com.au/openEHR</SPAN
1546></A>
1547</SPAN
1548><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1549>.
1550</SPAN
1551></P>
1552<P style="line-height:19px">
1553<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1554>Doc No:Gray J, Reuter A. </SPAN
1555><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1556>Transaction Processing Concepts and Techniques</SPAN
1557><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1558>. Morgan Kaufmann 1993</SPAN
1559><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1560>.
1561</SPAN
1562></P>
1563<P style="line-height:19px">
1564<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1565>Doc No:Rector A L, Nowlan W A, Kay S. </SPAN
1566><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1567>Foundations for an Electronic Medical Record</SPAN
1568><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1569>. The IMI</SPAN
1570><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1571>A
1572</SPAN
1573><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1574>Yearbook of Medical Informatics 1992 (Eds. van Bemmel J, McRay A). Stuttgart Schattauer 1994</SPAN
1575><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1576>.
1577</SPAN
1578></P>
1579<P style="line-height:19px">
1580<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1581>Doc No:Rossi-Mori A, Consorti F. </SPAN
1582><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1583>Assembling clinical information</SPAN
1584><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1585>. Note sent to HL7 discussion list</SPAN
1586><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1587>,
1588</SPAN
1589><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1590>2001-04-19</SPAN
1591><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1592>.
1593</SPAN
1594></P>
1595<P style="line-height:19px">
1596<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1597>Doc No:Sowa J F. </SPAN
1598><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1599>Knowledge Representation: Logical, philosophical and Computational Founda</SPAN
1600><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1601></SPAN
1602><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1603>tions</SPAN
1604><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1605>. 2000, Brooks/Cole, California. </SPAN
1606></P>
1607<P style="line-height:19px">
1608<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1609>Doc No:Schadow G, McDonald C J. </SPAN
1610><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1611>The Unified Code for Units of Measure</SPAN
1612><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1613>, Version 1.4, April 27</SPAN
1614><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1615>,
1616</SPAN
1617><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1618>2000. Regenstrief Institute for Health Care, Indianapolis. See </SPAN
1619><SPAN style=" font-weight:normal; text-decoration:underline"
1620><A href="http://aurora.rg.iupui.edu/UCUM">
1621<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1622>http://aurora.rg.iupui.edu/UCU</SPAN
1623><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1624>M
1625</SPAN
1626></A>
1627</SPAN
1628></P>
1629<P style="line-height:19px">
1630<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1631>Doc No:Schloeffel P. (Editor). Requirements for an Electronic Health Record Reference Architecture</SPAN
1632><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1633>.
1634</SPAN
1635><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1636>International Standards Organisation, Australia; Feb 2002; ISO TC 215/SC N; ISO/WD 18308</SPAN
1637><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1638>.
1639</SPAN
1640></P>
1641<P style="margin-bottom:21px; line-height:19px">
1642<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1643>Doc No:Sottile P.A., Ferrara F.M., Grimson W., Kalra D., and Scherrer J.R. The holistic healthcare in</SPAN
1644><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1645></SPAN
1646><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1647>formation system. Toward an Electronic Health Record Europe 1999. Nov 1999; 259-266</SPAN
1648><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1649>.
1650</SPAN
1651></P>
1652</DIV>
1653<DIV class="Sect">
1654<H3 ID="LinkTarget_3315" style="margin-bottom:25px">
1655<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1656>7.2 </SPAN
1657><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1658>European Projects </SPAN
1659></H3>
1660<P style="line-height:19px">
1661<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1662>Doc No:Dixon R., Grubb P.A., Lloyd D., and Kalra D. </SPAN
1663><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1664>Consolidated List of Requirements. EHCR Sup</SPAN
1665><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1666></SPAN
1667><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1668>port Action Deliverable 1.4</SPAN
1669><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1670>. European Commission DGXIII, Brussels; May 200159pp Available from </SPAN
1671><SPAN style=" font-weight:normal; text-decoration:underline"
1672><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF">
1673<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1674>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/del1-4v1_3.PDF</SPAN
1675></A>
1676</SPAN
1677><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1678>. </SPAN
1679></P>
1680<P style="margin-bottom:0px; line-height:19px">
1681<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1682>Doc No:Dixon R, Grubb P, Lloyd D</SPAN
1683><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1684>. EHCR Support Action Deliverable 3.5: &quot;Final Recommendations to CEN for future work&quot;</SPAN
1685><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1686>. Oct 2000. Available at </SPAN
1687><SPAN style=" font-weight:normal; text-decoration:underline"
1688><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
1689<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1690>http://www.chime.ucl.ac.uk/HealthI/EHCR</SPAN
1691><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1692></SPAN
1693></A>
1694<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
1695<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1696>SupA/documents.htm</SPAN
1697></A>
1698</SPAN
1699><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1700>. </SPAN
1701></P>
1702<P style="text-align:justify; margin-bottom:0px">
1703<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1704>Doc No:Dixon R, Grubb P, Lloyd D. </SPAN
1705><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1706>EHCR Support Action Deliverable 2.4 &quot;Guidelines on Interpre</SPAN
1707><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1708></SPAN
1709></P>
1710<P style="line-height:19px">
1711<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1712>tation and implementation of CEN EHCRA&quot;</SPAN
1713><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1714>. Oct 2000. Available at </SPAN
1715><SPAN style=" font-weight:normal; text-decoration:underline"
1716><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
1717<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1718>ht</SPAN
1719><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1720></SPAN
1721></A>
1722<A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
1723<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1724>tp://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
1725></A>
1726</SPAN
1727><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1728>. </SPAN
1729></P>
1730<P style="line-height:19px">
1731<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1732>Doc No:Ingram D. </SPAN
1733><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1734>The Good European Health Record Project</SPAN
1735><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1736>. Laires, Laderia Christensen, Eds</SPAN
1737><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1738>.
1739</SPAN
1740><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
1741>H</SPAN
1742><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1743>ealth in the New Communications Age. Amsterdam: IOS Press; 1995; pp. 66-74</SPAN
1744><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1745>.
1746</SPAN
1747></P>
1748<P style="line-height:19px">
1749<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1750>Doc No:Lloyd D, et al</SPAN
1751><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1752>. EHCR Support Action Deliverable 3.1&amp;3.2 “Interim Report to CEN”</SPAN
1753><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1754>. Jul</SPAN
1755><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1756>y
1757</SPAN
1758><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1759>1998. Available at </SPAN
1760><SPAN style=" font-weight:normal; text-decoration:underline"
1761><A href="http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm">
1762<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1763>http://www.chime.ucl.ac.uk/HealthI/EHCR-SupA/documents.htm</SPAN
1764></A>
1765</SPAN
1766><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1767>.
1768</SPAN
1769></P>
1770<P style="line-height:19px">
1771<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1772>Doc No:</SPAN
1773><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1774>Deliverable 4: GEHR Requirements for Clinical Comprehensiveness. </SPAN
1775><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1776>GEHR Project 199</SPAN
1777><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1778>2
1779</SPAN
1780></P>
1781<P style="line-height:19px">
1782<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1783>Doc No:</SPAN
1784><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1785>Deliverable 7: Clinical Functional Specifications. </SPAN
1786><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1787>GEHR Project 199</SPAN
1788><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1789>3
1790</SPAN
1791></P>
1792<P style="line-height:19px">
1793<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1794>Doc No:</SPAN
1795><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1796>Deliverable 8: Ethical and legal Requirements of GEHR Architecture and Systems. </SPAN
1797><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1798>GEH</SPAN
1799><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1800>R
1801</SPAN
1802><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1803>Project 199</SPAN
1804><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1805>4
1806</SPAN
1807></P>
1808<P style="line-height:19px">
1809<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1810>Doc No:</SPAN
1811><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1812>Deliverable 19,20,24: GEHR Architecture. </SPAN
1813><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1814>GEHR Project 30/6/199</SPAN
1815><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1816>5
1817</SPAN
1818></P>
1819<P style="line-height:19px">
1820<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1821>Doc No:Grimson W. and Groth T. (Editors). The Synapses User Requirements and Functional Speci</SPAN
1822><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1823></SPAN
1824><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1825>fication (Part B). EU Telematics Application Programme, Brussels; 1996; The Synapses Project: De</SPAN
1826><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1827></SPAN
1828><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1829>liverable USER 1.1.1b. </SPAN
1830></P>
1831<P style="line-height:19px">
1832<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1833>Doc No:Kalra D. (Editor). The Synapses User Requirements and Functional Specification (Part A). EU Telematics Application Programme, Brussels; 1996; The Synapses Project: Deliverable USER 1.1.1a. 6 chapters, 176 pages. </SPAN
1834></P>
1835<P style="margin-bottom:21px; line-height:19px">
1836<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1837>Doc No:Kalra D. (Editor). Synapses ODP Information Viewpoint. EU Telematics Application Pro</SPAN
1838><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1839></SPAN
1840><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1841>gramme, Brussels; 1998; The Synapses Project: Final Deliverable. 10 chapters, 64 pages. </SPAN
1842></P>
1843</DIV>
1844<DIV class="Sect">
1845<H3 ID="LinkTarget_3356" style="margin-bottom:25px">
1846<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1847>7.3 </SPAN
1848><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1849>CEN </SPAN
1850></H3>
1851<P style="text-align:justify; margin-left:145px; text-indent:-144px; line-height:19px">
1852<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1853>Doc No:ENV 13606-1</SPAN
1854><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1855> - Electronic healthcare record communication - Part 1: Extended architecture</SPAN
1856><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1857>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
1858></P>
1859<P style="text-align:justify; margin-left:165px; text-indent:-164px; line-height:19px">
1860<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1861>Doc No:ENV 13606-2 -</SPAN
1862><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1863>Electronic healthcare record communication - Part 2: Domain term list</SPAN
1864><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1865>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
1866></P>
1867<P style="line-height:19px">
1868<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1869>Doc No:ENV 13606-3 -</SPAN
1870><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1871>Electronic healthcare record communication - Part 3: Distribution rules</SPAN
1872><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1873>.
1874</SPAN
1875><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1876>CEN/ TC 251 Health Informatics Technical Committee</SPAN
1877><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1878>.
1879</SPAN
1880></P>
1881<P style="margin-bottom:0px; line-height:19px">
1882<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1883>Doc No:ENV 13606-4 -</SPAN
1884><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1885>Electronic Healthcare Record Communication standard Part 4: Messages for the exchange of information</SPAN
1886><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1887>. CEN/ TC 251 Health Informatics Technical Committee. </SPAN
1888></P>
1889</DIV>
1890<DIV class="Sect">
1891<H3 ID="LinkTarget_3364" style="margin-bottom:25px">
1892<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1893>7.4 </SPAN
1894><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1895>GEHR Australia </SPAN
1896></H3>
1897<P style="text-align:justify; margin-left:255px; text-indent:-201px; line-height:19px">
1898<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1899>Doc No:Heard S. </SPAN
1900><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1901>GEHR Project Australia, GPCG Trial</SPAN
1902><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1903>. Available at </SPAN
1904><SPAN style=" font-weight:normal; text-decoration:underline"
1905><A href="http://www.gehr.org/gpcg/ehra.htm">
1906<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1907>http://www.ge</SPAN
1908><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1909></SPAN
1910></A>
1911<A href="http://www.gehr.org/gpcg/ehra.htm">
1912<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1913>hr.org/gpcg/ehra.htm</SPAN
1914></A>
1915</SPAN
1916><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1917>. </SPAN
1918></P>
1919<P style="margin-bottom:0px">
1920<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1921>Doc No:Beale T, Heard S. </SPAN
1922><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1923>GEHR Technical Requirements</SPAN
1924><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1925>. See </SPAN
1926><SPAN style=" font-weight:normal; text-decoration:underline"
1927><A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
1928<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1929>http://www.gehr.org/technical/require</SPAN
1930><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1931></SPAN
1932></A>
1933</SPAN
1934></P>
1935<P style="margin-bottom:0px; line-height:19px">
1936<SPAN style=" font-weight:normal; text-decoration:underline"
1937><A href="http://www.gehr.org/technical/requirements/gehr_requirements.html">
1938<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
1939>ments/gehr_requirements.html</SPAN
1940></A>
1941</SPAN
1942><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1943>. </SPAN
1944></P>
1945</DIV>
1946<DIV class="Sect">
1947<H3 ID="LinkTarget_3378" style="text-align:left; margin-bottom:25px">
1948<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1949>7.5 </SPAN
1950><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1951>HL7 </SPAN
1952></H3>
1953<P style="line-height:19px">
1954<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1955>Doc No:Schadow G, Russler D, Mead C, Case J, McDonald C. HL7 version 3 deliverable: </SPAN
1956><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1957>The Unified Service Action Model : Documentation for the clinical area of the HL7 Reference Information Model</SPAN
1958><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1959>. (Revision 2.4+). </SPAN
1960></P>
1961<P style="text-align:; margin-bottom:21px; line-height:19px">
1962<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1963>Doc No:Schadow G, Biron P. HL7 version 3 deliverable: </SPAN
1964><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1965>Version 3 Data Types</SPAN
1966><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1967>. (DRAFT Revision 1.0). </SPAN
1968></P>
1969</DIV>
1970<DIV class="Sect">
1971<H3 ID="LinkTarget_3382" style="text-align:left">
1972<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1973>7.6 </SPAN
1974><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1975>OMG </SPAN
1976></H3>
1977<P style="text-align:; margin-bottom:21px; margin-right:182px; margin-left:60px; text-indent:26px; line-height:38px">
1978<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1979>Doc No:CORBAmed document: </SPAN
1980><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1981>Person Identification Service</SPAN
1982><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1983>. (March 1999). (Authors?) Doc No:CORBAmed document: </SPAN
1984><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1985>Clinical Observations Access Service</SPAN
1986><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1987>. (Jan 2000) 3M, Care Data Systems, CareFlow/Net, HBO &amp; C, LANL, and others. Doc No:CORBAmed document: </SPAN
1988><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
1989>Lexicon Query Service</SPAN
1990><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
1991>. (March 1999) (Authors?) </SPAN
1992></P>
1993</DIV>
1994<DIV class="Sect">
1995<H3 ID="LinkTarget_3385" style="text-align:left">
1996<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1997>7.7 </SPAN
1998><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
1999>Software Engineering </SPAN
2000></H3>
2001<P style="text-align:; margin-bottom:0px; margin-right:229px; margin-left:95px; text-indent:63px; line-height:35px">
2002<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2003>Doc No:Meyer B. </SPAN
2004><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2005>Object-oriented Software Construction</SPAN
2006><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2007>, 2nd Ed. Prentice Hall 1997 Doc No:Walden K, Nerson J. </SPAN
2008><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2009>Seamless Object-oriented Software Architecture</SPAN
2010><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2011>. Prentice Hall 1994 Doc No:Gamma E, Helm R, Johnson R, Vlissides J. </SPAN
2012><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2013>Design patterns of Reusable Object-oriented Soft</SPAN
2014><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2015></SPAN
2016><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2017>ware </SPAN
2018></P>
2019<P style="text-align:left; margin-bottom:0px; margin-left:48px; line-height:35px">
2020<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2021>Addison-Wesley 1995 </SPAN
2022></P>
2023<P style="text-align:; margin-bottom:21px; margin-right:221px; margin-left:109px; text-indent:72px; line-height:35px">
2024<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2025>Doc No:Fowler M. </SPAN
2026><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2027>Analysis Patterns: Reusable Object Models </SPAN
2028><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2029>Addison Wesley 1997 Doc No:Fowler M, Scott K. </SPAN
2030><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2031>UML Distilled (2nd Ed.) </SPAN
2032><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2033>Addison Wesley Longman 2000 Doc No:Booch G, Rumbaugh J, Jacobsen I. </SPAN
2034><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-style:italic; color:#353538"
2035>The Unified Modelling Language User Guide</SPAN
2036><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2037>. Addison esley 1999. </SPAN
2038></P>
2039</DIV>
2040<DIV class="Sect">
2041<H3 ID="LinkTarget_3391" style="text-align:left; margin-bottom:0px">
2042<SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
2043>7.8 </SPAN
2044><SPAN style="font-size:15.8pt; font-weight:bold; color:#353538"
2045>Resources </SPAN
2046></H3>
2047<P style="margin-bottom:-23px; margin-left:14px; line-height:43px">
2048<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2049>Doc No:Arden Syntax. </SPAN
2050><SPAN style=" font-weight:normal; text-decoration:underline"
2051><A href="http://www.cpmc.columbia.edu/arden/">
2052<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2053>http://www.cpmc.columbia.edu/arden</SPAN
2054><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2055>/
2056</SPAN
2057></A>
2058</SPAN
2059><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2060>Doc No:Asbru / The Asgaard Project. </SPAN
2061><SPAN style=" font-weight:normal; text-decoration:underline"
2062><A href="http://smi-web.stanford.edu/projects/asgaard/">
2063<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2064>http://smi-web.stanford.edu/projects/asgaard</SPAN
2065><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2066>/
2067</SPAN
2068></A>
2069</SPAN
2070><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2071>Doc No:Digital Imaging ad Communications in Medicine (DICOM). </SPAN
2072><SPAN style=" font-weight:normal; text-decoration:underline"
2073><A href="http://medical.nema.org/dicom.html">
2074<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2075>http://medical.nema.org/di</SPAN
2076><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2077></SPAN
2078></A>
2079</SPAN
2080></P>
2081<P style="margin-bottom:0px; line-height:43px">
2082<SPAN style=" font-weight:normal; text-decoration:underline"
2083><A href="http://medical.nema.org/dicom.html">
2084<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2085>com.html</SPAN
2086></A>
2087</SPAN
2088><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2089>.
2090</SPAN
2091><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2092>Doc No:EON ref require</SPAN
2093><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2094>d
2095</SPAN
2096><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2097>Doc No:GLIF (Guideline Interchange Format). </SPAN
2098><SPAN style=" font-weight:normal; text-decoration:underline"
2099><A href="http://www.glif.org/">
2100<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2101>http://www.glif.org/</SPAN
2102></A>
2103</SPAN
2104><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2105>.
2106</SPAN
2107><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2108>Doc No:IANA -</SPAN
2109><SPAN style=" font-weight:normal; text-decoration:underline"
2110><A href="http://www.iana.org/">
2111<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2112>http://www.iana.org/</SPAN
2113></A>
2114</SPAN
2115><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2116>.
2117</SPAN
2118><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2119>Doc No:ProForma language for decision support. </SPAN
2120><SPAN style=" font-weight:normal; text-decoration:underline"
2121><A href="http://www.acl.icnet.uk/lab/proforma.html">
2122<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2123>http://www.acl.icnet.uk/lab/proforma.html</SPAN
2124></A>
2125</SPAN
2126><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2127>.
2128</SPAN
2129><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2130>Doc No:SynEx project, UCL. </SPAN
2131><SPAN style=" font-weight:normal; text-decoration:underline"
2132><A href="http://www.chime.ucl.ac.uk/HealthI/SynEx/">
2133<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#6A4F84"
2134>http://www.chime.ucl.ac.uk/HealthI/SynEx/</SPAN
2135></A>
2136</SPAN
2137><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; color:#353538"
2138>.
2139</SPAN
2140></P>
2141<P style="margin-bottom:33px">
2142<SPAN style="color:#353538"
2143>Rev 0.2 </SPAN
2144></P>
2145<P style="margin-bottom:608px">
2146<SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
2147>END OF DOCUMEN</SPAN
2148><SPAN style="font-family:'serif', 'Times', serif; font-size:12pt; font-weight:bold; color:#353538"
2149>T
2150</SPAN
2151></P>
2152<P style="margin-bottom:15px">
2153<SPAN style="color:#353538"
2154>Authors:{T Beale, S Heard} Page 23 of 23 Date of Issue:</SPAN
2155><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
2156> 25 Feb 2003 </SPAN
2157></P>
2158<P style="margin-bottom:0px; line-height:14px">
2159<SPAN style="font-family:'serif', 'Times', serif; color:#353538"
2160>© 2003 The openEHR Foundatio</SPAN
2161><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
2162>n
2163</SPAN
2164><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
2165>email: info@openEHR.org web: http://www.openEHR.or</SPAN
2166><SPAN style="font-family:'serif', 'Times', serif; color:#353538"
2167>g
2168</SPAN
2169></P>
2170</DIV>
2171</DIV>
2172</DIV>
2173</BODY>
2174</HTML>
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