+1 I think you're about to hit the right spot, it seems to be very near to THE 
solution for interoperability & reuse at a model level.
Learning from the Internet approach (the biggest example of interoperability in 
the world, that actualy works) the multi-component or multi-layered idea seems 
the right idea: having a common core for layer 1, a bussiness layer with EHRs, 
... seems just right.
Another big advantage of this approach is the gradual implementation 
capability: I can implement & certify a layer 1 implementation, then implement 
layer 2, ...
-- 
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

Date: Wed, 3 Oct 2012 23:19:28 +0100
From: [email protected]
To: openehr-technical at lists.openehr.org
Subject: Re: lessons from Intermountain Health, and starting work on openEHR    
2.x


  
    
  
  
    On 03/10/2012 23:02, Thomas Beale
      wrote:
    

    although - it will probably come out to have multiple entry points.
    The 13606 model is about what makes sense in EHR Extract messages.
    We built and implemented a more recent version of that, using
    lessons from 13606 - the openEHR EHR Extract. There are undoubtedly
    a lot of lessons from 13606 Extract use out there (there must be
    because nearly everyone implements the standard by changing, so that
    says something!).

    

    However, other parts of openEHR are concerned with the logical
    semantics of in situ EHRs, not just messages travelling between
    systems. So I think there could be a common core, an EHR part and an
    EHR Extract part. Having one standard for that would be hugely
    useful for industry.

    

    - thomas                                      
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