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Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems (2013)
Porto, Portugal Portugal
June 20, 2013 to June 22, 2013
pp: 303-307
Efficiently storing and retrieving archetype-based patient information can be a challenging task. This paper surveys current archetype-based system implementations in the world and in particular the different approaches that have been used to create 13606- or openEHR-based storage repositories. Data is reported from systems with a few records to millions of records, including both deployed systems in production and experimental systems. Worldwide 21 projects were found, 4 did not reply and 1 did not provide data. Many systems (n=11) base their storage on RDBMS, then often (n=6) with some XML data fields. Dedicated XML (n=3) and object-oriented (n=2) databases were other examples of storage used. Query formalisms used include SQL, AQL, XQuery and XPath. Service interfaces via SOAP (n=12) or REST (n=6) are common. Most systems support dynamic configuration using new/changed archetypes and templates dynamically without system restart. Some (n=7) systems use demographic archetypes. In addition to the built in DBMS indexing mechanisms, one project reports use of an additional inverted index to achieve improved performance.

"Survey of openEHR storage implementations," 2013 IEEE 26th International Symposium on Computer-Based Medical Systems (CBMS), Porto, Portugal, 2013, pp. 303-307.
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