Hi Fred,



The OpenEHR notion, on the other hand, is to create a core substrate within the 
EHR design itself which facilitates interoperability automatically. (is that 
right? I am trying to digest what you are saying here). Trying to solve the 
same problem on the "front side" as it were.



I think that's more acurated, but "substrate" is a little ambiguous here, I 
rather say that openEHR propose a generic standarized architecture based on the 
dual model (separate software from custom domain concepts). That architecture 
enables/simplifies interoperability later because the information to be 
interchanged between systems is formally defined (by archetypes: 
http://www.openehr.org/knowledge/). So any communication protocol and data 
format could be used for interoperability, and systems could interchange not 
only data, but the information definition too.
The key here is that within an openEHR based system, other standards like HL7, 
DICOM, SNOMED, MeSH, UMLS, ICD10, ... could be implemented to, each one for 
it's own task.

Hope that helps.
-- 
Kind regards,
Ing. Pablo Pazos Guti?rrez
LinkedIn: http://uy.linkedin.com/in/pablopazosgutierrez
Blog: http://informatica-medica.blogspot.com/
Twitter: http://twitter.com/ppazos
                                          
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