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Applying representational state transfer (REST) architecture to archetype-based electronic health record systems.

Erik Sundvall1, Mikael Nyström, Daniel Karlsson

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Summary
This summary is machine-generated.

This study formalizes an openEHR service interface using RESTful principles for Electronic Health Records (EHRs). The developed interface supports modularity, caching, and load balancing with web technologies, aiding EHR development.

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Area of Science:

  • Computer Science
  • Health Informatics

Background:

  • The openEHR project and ISO 13606 standard provide structures for Electronic Health Records (EHRs).
  • A finalized openEHR service interface specification for application developers is currently lacking.
  • This paper explores using Representational State Transfer (REST) for a platform-independent, HTTP-based openEHR service interface.

Purpose of the Study:

  • To formalize openEHR storage, retrieval, and version-handling semantics into an implementable service interface.
  • To explore the benefits and tradeoffs of a RESTful architectural style for openEHR services.
  • To develop an open-source educational EHR environment for learning and rapid prototyping.

Main Methods:

  • Utilized Representational State Transfer (REST) architectural style for designing the service interface.
  • Formalized EHR content semantics, storage, retrieval, and version handling.
  • Developed an open-source implementation (LiU EEE) for educational purposes.

Main Results:

  • An implementable HTTP-based service interface for openEHR was formalized.
  • The modular design facilitates prototyping, testing, replication, distribution, caching, and load balancing using standard web technologies.
  • Approaches for querying and retrieving EHR content considering caching, logging, and distribution were developed.
  • An open-source educational EHR environment, LiU EEE, was created.

Conclusions:

  • REST effectively addressed many architectural concerns for openEHR service interfaces.
  • An additional messaging component was identified as necessary for certain architectural aspects.
  • The developed approaches are valuable for other archetype-based EHR implementations and service model specifications.