For those of you interested in EHR Extracts, a new proposed update to 
the openEHR EHR Extract has been posted at 
http://www.openehr.org/wiki/display/spec/openEHR+EHR+Extract .This 
describes a very flexible and completely archteypable Extract, in which 
all components, including the outer structure, clinical content and 
demographic and administrative content can be archetyped and templated 
using ADL/AOM 1.5. This proposal better accommodates 13606, HL7 CDA and 
similar models than the existing openEHR EHR Extract, but within a more 
flexible and archetypable framework. It also addresses other use cases, 
e.g. :

    * where demographic data do not need to be included within an
      Extract due to being visible to all systems in e.g. a national
      registry; therefore only references are required;
    * data of multiple patients (rather than just one, as in 13606 and
      CDA) can be included in a single Extract - this is a typical need
      of pathology and imaging laboratories.

A demonstration (but realistic) template and set of archetypes for this 
purpose will be posted soon.

- thomas beale

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