Dear all,

Within the Virgen del Rocio University Hospital we are analysing how to
implement a EHR based on Dual Model Approach.  When we analysed direct
implementation a database based on of either OpenEHR Reference Model  or ISO
13606, we have detected that it could have slow performance . Given that we
are concerned about this problem, we would like to know possible strategies
have been identified by implementers in order to fasten the performance of
storage and query.

Also the granularity level is one open issue that impacts on the
performance, I would like to know if the level of granularity of the
archetypes contained within the OpenEHR CKM is able to satisfy the
requirements of  an EHR with more than 1 million records.

Kind Regards

Alberto

 *Alberto Moreno Conde*
GIT-Grupo de Innovaci?n Tecnol?gica
Hospital Universitario Virgen del Roc?o
Edif. Centro de Documentaci?n Cl?nica Avanzada
Av. Manuel Siurot, s/n.
C.P.: 41013    SEVILLA
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