How can these models improve the development and understanding of uniform patient medical record data standards?
OACIS experience: OACIS has almost a decade of using similar models as the basis of our clinical data repository. Key features are (also see 1. Paradigm, above): object model new clinical data functionality added by adding specializations, not attributes. within each specialization, the ability to handle new instances is added by adding master-file instances (e.g. adding the ability to process new lab tests by adding the corresponding master files definitions). ability to map local vocabularies for specialization instances into standard vocabularies. hence the model is never “finished” but always extensible in consistent, implementable manner. with this strategy, standard interfaces to clinical decision support and other knowledge applications can be created. These key features are shared with the HL7 RIM. With these key features, all clinical domain information can be supported in an interoperable fashion. The current parallel with HL7 is the HL7 Clinical Templates Project, where stan
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