Dear all,

I am not sure whether this is premature but I curious as to which part of an
OpenEHR compliant EHR-S will enforce the constraints that are embedded in an
archetype model - I note the use of the term data validator on the web
site - Will the kernel in an OpenEHR server parse data (for instance to
assess completeness of a communicated extract) using some sort of constraint
processor - or will this be up to individual implementers to sort out?

Also, is there any ongoing implementation / validation work on how to map
archetype-based communications into (for instance) decision support
services? Will it be practical to incorporate legacy DSS systems or will it
be necessary that a DSS function within an OpenEHR-compliant EHR-S is built
from scratch around the OpenEHR models?

Finally - how would you go about developing an OpenEHR-compatible instrument
interface? What steps would be taken in order to feed "raw" measurements
from an instrument into the EHR?

I suspect that this would involve some of the following activities. I would
like your guidance on how the scenario continues, and/or whether it is in
the scope of the work.

AT DESIGN / IMPLEMENTATION TIME DOMAIN SPECIALISTS AND DEVELOPERS...
 - create an archtype with the appropriate constraints to comply with data
provenance, context requirements etc.
 - implement an instrument interface that produces (in cooperation with an
OpenEHR server) the minumum set of data surrounding the measurement that is
required by the archetype

AT RUN TIME THE INTERFACE...
 - constructs a message including all of the context information (time
stamp, origin,etc)  surrounding the raw measurement
 - checks for completeness of the data
 - facilitates(?) a check for correctness of the data
 - ??
 - passes the information to the EHR-S where it is incorporated into the EHR
(automatically? or only with "signed" human consent?)

Best Regards,
Damon Berry



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