目次

TOC

1. はじめに

1. Purpose 7

1. Status 7

1. Peer review 7

1. 概要
   1. The openEHR Specification Project 9
2. Aims of the openEHR Architecture 11

• 3.1 Overview 11
• 3.2 Clinical Aims 12
• 3.3 Deployment Environments 13

# 4 Design Principles 15

• 4.1 Ontological Separation 15
• 4.2 Separation of Responsibilities 18
• 4.3 Separation of Viewpoints 18

# 5 openEHR Package Structure 21

• 5.1 Overview 21
• 5.2 Reference Model (RM) 22

o 5.2.1 Package Overview 22

• 5.3 Archetype Model (AM) 24
• 5.4 Service Model (SM) 25

# 6 Design of the openEHR EHR 27

• 6.1 The EHR System 27
• 6.2 Top-level Information Structures 27
• 6.3 The EHR 28
• 6.4 Entries and "clinical statements" 29
• 6.5 Managing Interventions 32
• 6.6 Time in the EHR 34
• 6.7 Language 34

# 7 Security and Confidentiality 37

• 7.1 Requirements 37
• 7.2 Threats to Security and Privacy 38
• 7.3 Solutions Provided by openEHR 39

o 7.3.1 Overview 39 o 7.3.2 Security Policy 39 o 7.3.3 Integrity 41 o 7.3.4 Anonymity 43

• 7.4 Access Control 43

# 8 Versioning 45

• 8.1 Overview 45
• 8.2 The Configuration Management Paradigm 45

o 8.2.1 Organisation of the Repository 46 o 8.2.2 Change Management 46

• 8.3 Managing Changes in Time 47

o 8.3.1 General Model of a Change-controlled Repository 48

• 8.4 The "Virtual Version Tree" 49

# 9 Identification 51

• 9.1 Identification of the EHR 51
• 9.2 Identification of Items within the EHR 51

o 9.2.1 General Scheme 51 o 9.2.2 Levels of Identification 51

# 10 Archetypes and Templates 55

• 10.1 Overview 55
• 10.2 Archetype Formalisms and Models 56

o 10.2.1 Overview 56 o 10.2.2 Design-time Relationships between Archetypes 56

• 10.3 Relationship of Archetypes and Templates to Data 57
• 10.4 Archetype-enabling of Reference Model Data 57
• 10.5 Archetypes, Templates and Paths 58
• 10.6 Archetypes and Templates at Runtime 58

o 10.6.1 Overview 58 o 10.6.2 Deploying Archetypes and Templates 59 o 10.6.3 Validation during Data Capture 60 o 10.6.4 Querying 61

• 10.7 The openEHR Archteypes 62

# 11 Paths and Locators 63

• 11.1 Overview 63
• 11.2 Paths 63

o 11.2.1 Basic Syntax 63 o 11.2.2 Predicate Expressions 64 o 11.2.3 Paths within Top-level Structures 65 o 11.2.4 Data Paths and Uniqueness 65

• 11.3 EHR URIs 68

o 11.3.1 EHR Reference URIs 68

# 12 Terminology in openEHR 71

• 12.1 Overview 71
• 12.2 Terminology to Support the Reference Model 71
• 12.3 Archetype Internal Terminology 71
• 12.4 Binding to External Terminologies 73
• 12.5 Querying using External Terminologies 74

# 13 Deployment 77

• 13.1 5-tier System Architecture 77

# 14 Integrating openEHR with other Systems 79

• 14.1 Overview 79
• 14.2 Integration Archetypes 79
• 14.3 Data Conversion Architecture 80

# 15 Relationship to Standards 81 # 16 Implementation Technology Specifications 83

• 16.1 Overview 83

# A References 85