!"#$%&'('$)*+,-.$/,-0'($12345$

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Ernest Dalton
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1 "#$%&'('$)*+,-.$/,-0'($12345$ "#$%&'('$)*+,-.$/,-0'($12345$ ()*+,(-./ #$#F>1956I406-;7 F*;Q01;G+A$'RS$ 87N7A7 "#$$%&#$''()*+,(-./ A9915I)4<1*<*1B*;7 "#$%&'()$*&#++ Legend Determine instance content Domain Experts Consensus Requirements realizes is contained in Standards Modeling Experts Business Analysts Generalized Structure Designs HL7 RIM & Vocab hdata specification or construct Domain Specific Analysts Standards aware Architects Standards aware Technical Architects Domain Specific Structure Designs HL7 Templates HL7 ITS RLUS Semantic Signifier Domain specific hdata Content Profile (format specified in HRF) Technical Implementers Interfacing Technical Components HL7 Package and Service SOA RLUS HL7 hdata Record Format (Package organization and meta data) On the wire instances HL7 hdata RESTful Transport (Service access and network transport)

2 "#$%&'('$)*+,-.$/,-0'($12345$ /012.) )1Q )1Q&:; b< H< )442fggJJJ7JS701Ig#$$$g$%gY:9;<5Ii A40: )442fggJJJ7JS701Ig#$$DgA40: Q01:34 -;;9 )442fggJJJ71;;9701Ig 45&11.%6+7-&#8-&%/.$*90:++

3 "#$%&'('$)*+,-.$/,-0'($12345$ 0Q4)*P/?Q01:347 -[8N&&&Q59956jj,; -&$.$*&#.5+<&#90#$*&#1++ ()*L*OJ01;<k+8N(kGk+8N(d^(kGk-.l8,-.HkGkNPA[[kGkNPA[[d^(kGkNP^8[HkGkNP^8[Hd^(kG gyf+op*3;*1gyfn0:*?102*14ogob39>*'v7

4 "#$%&'('$)*+,-.$/,-0'($12345$ 3 =*0%.%)>*).5+?%@.#*A.$*&#++ ()*=3<5@322103@)0Q4)*)H343-*@01;T01:345<401*21*<*644)*:*;5@39;3434)10>I)956L*;;0@>:*64<G J)5@)31*01I365K*;4)10>I)363=<413@4)5*131@)O7()*)H343-.N(Q>9A?,<2*@5Q5@34506:32<4)5<3=<413@4 )5*131@)O403@06@1*4*5:29*:* G<>@)3<3J*=1*<0>1@*)5*131@)O7 hdata Record root.xml - Manifest document describing the content of the record Section - Container for Section s and child Sections - Provides metatdata per document through an Atom feed Section Section (actual medical data Section (actual document medical - XML data or - actual document medical arbitrary Internet - data XML or media document arbitrary Internet type) media - XML or arbitrary type) Internet media type Section Section Section Section "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

5 3,?90%.55+B$%()$(% ,3 C&&$+D&)(/0#$++ 04)*1J5<*Vf 88,H7,45<-./^++.dH.H40604><*3=<09>4*8-,<G=>4069OQ13I:*64<4)34:3O=*><*;J54)5638-,

6 "#$%&'('$)*+,-.$/,-0'($12345$ *_>51*; r395;B39>*<31*W1*_>51*;X01W X7,Q4)5<34415=>4*5<60421*<*64G4)* 3,; 5;*645Q5*;=O3I90=399O>65_>*5;*645Q5*17,45<-./^++.dH.H4)344)5<>65_>*5;*645Q5*1=*38-[ I403 4)3431*1*I5<4*1*;564)*-H7 3,G B0)$*&#1+

7 "#$%&'('$)*+,-.$/,-0'($12345$ 3,H B0)$*&#+D&)(/0#$1++ 3,I 3,I, B0)$*&#+K00'+E50/0#$+C0L(*%0/0#$1+ ()*Q0990J56IA40:Q**;9*B*9*9*:*64<31*-./^++.dH.Hf @)36I*<404)*:*43; ,I,3 M.$&/N0#$%6O+E50/0#$+C0L(*%0/0#$1+ #7h7SV =>4*5<-.l8,-.H7 45:*7

8 "#$%&'('$)*+,-.$/,-0'($12345$ 3,I,; B0)$*&#+D&)(/0#$+J0$.'.$.+D0P*#*$*&# ;34*<J54) *;5I1**56Q01:345060Q4)*:0;5Q5* />11*649O4)*069O2*1:544*;:*4)0;<31*Y:9G<)3#Dh36;=3<*hC7Y:95<4)*;*Q3>94b+[<5I634>1*

9 "#$%&'('$)*+,-.$/,-0'($12345$ '7 #7 ()*;<fm*o,6q0q014)*<5i6*1u j54)hn5i&1*_>51*;)*1*v 0Q3993>4)01U<V7 g)1q&:;f?*;5i1**,6q0g)1q&:;f^1i365k34506u$77>6=0>6;v&()5<*9*:*645;*645q5*;4)*01i365k34506u<v g)1q&:;f[56l,6q0gii36ou^?(,^da[va*y4*6< ,I,G '7 #7 S7 ; >D.$.+<&#$0#$+Q%&P*501++ )H343/064*64?10Q59*<UP/?VJ)5@)31*<2*@5Q5*;4)10>I)3P/?;0@>:* @L3I*7A6)H343/064*64?10Q59*21*<@15=*<4)*1*_>51*;36; @064*6431*@01;:><4210B5;*G36;3990@34*<4)*293@*Q014)* "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

10 "#$%&'('$)*+,-.$/,-0'($12345$ :>94529*P/?<7 ;, C05.$*&#1>*2+$&+=RS+CRTB+ ;,3 '7 #7 -.l8,-.h7 S7 C7 D7 ;*2*6;<064)*015I *640Q4)*P/?7 h7 F*)3B50139:0;*936;=><56*<<1>9*<a,Q4)*;0:356Q014)*P/?:><43;)*1*403=*)3B50139:0;*901 1>9*<*Y5<47 R7 w7 %7 37 =7

11 "#$%&'('$)*+,-.$/,-0'($12345$ ;7 *7 '$ =7 ;,; >D.$.+<&#$0#$+Q%&P*50+D0P*#*$*&#+D&)(/0#$ G B)>0/.1+ G, C&&$+D&)(/0#$+ ()5<<*@4506@064356<4)*<@)*:3Q014)*1004;0@>:*64U<**N*@4506#7#V7A9956<436@*<0Q1004;0@>:*64< +8N(B395;34*3I356<44)5<<@)*:3;*Q <?xml version="1.0" encoding="utf-8"?> <-- Copyright 2009 The MITRE Corporation Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

12 "#$%&'('$)*+,-.$/,-0'($12345$ See the License for the specific language governing permissions and limitations under the License. --> <xs:schema xmlns:xs=" xmlns:core=" elementformdefault="qualified" targetnamespace=" <xs:element name="root"> <xs:complextype> <xs:all> <xs:element ref="core:id"/> <xs:element ref="core:version"/> <xs:element ref="core:created"/> <xs:element ref="core:lastmodified"/> <xs:element ref="core:extensions"/> <xs:element ref="core:sections"/> </xs:all> <xs:element name="id" type="xs:string"/> <xs:element name="version" type="xs:string"/> <xs:element name="created" type="xs:date"/> <xs:element name="lastmodified" type="xs:date"/> <xs:element name="extensions"> <xs:complextype> <xs:sequence> <xs:element minoccurs="0" maxoccurs="unbounded" ref="core:extension"/> </xs:sequence> <xs:element name="extension"> <xs:complextype mixed="true"> <xs:attributegroup ref="core:extension"/> <xs:element name="sections"> <xs:complextype> <xs:sequence> <xs:element minoccurs="0" maxoccurs="unbounded" ref="core:section"/> </xs:sequence> <xs:attributegroup name="extension"> <xs:attribute name="contenttype" type="xs:string" use="optional"/> <xs:attribute name="extensionid" type="xs:string"

13 "#$%&'('$)*+,-.$/,-0'($12345$ use="required"/> </xs:attributegroup> <xs:element name="section"> <xs:complextype> <xs:sequence> <xs:element minoccurs="0" maxoccurs="unbounded" ref="core:section"/> </xs:sequence> <xs:attribute name="path" use="required"/> <xs:attribute name="name" use="optional"/> <xs:attribute name="extensionid" use="required"/> <xs:attribute name="requirement" use="optional"> <xs:simpletype> <xs:restriction base="xs:token"> <xs:enumeration value="mandatory"/> <xs:enumeration value="optional"/> </xs:restriction> </xs:simpletype> </xs:attribute> </xs:schema> G,3 >D.$.+<&#$0#$+Q%&P*50+D0P*#*$*&#+ <?xml version="1.0" encoding="utf-8"?> <-- Copyright 2010 The MITRE Corporation Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. --> <xs:schema xmlns:xs=" xmlns:hcp=" xmlns:core=" elementformdefault="qualified" targetnamespace=" "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

14 "#$%&'('$)*+,-.$/,-0'($12345$ <xs:import namespace=" schemalocation=" as/2009/06/root.xsd"/> <xs:element name="hcp"> <xs:complextype> <xs:all> <xs:element ref="core:extensions"/> <xs:element ref="core:sections"/> </xs:all> <xs:attribute name="name" use="required" type="xs:string"/> <xs:attribute name="id" use="required" type="xs:anyuri"/> </xs:schema> G,; B0)$*&#+D&)(/0#$+J0$.'.$.+ <?xml version="1.0" encoding="utf-8"?> <-- Copyright 2009 The MITRE Corporation Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. --> <xs:schema xmlns:xs=" xmlns:hdmd=" xmlns:ds=" elementformdefault="qualified" targetnamespace=" ta"> <xs:import namespace=" schemalocation=" /xmldsig-core-schema.xsd"/> "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

15 "#$%&'('$)*+,-.$/,-0'($12345$ <xs:element name="metadata"> MetaData is the top-level element for the hdata meta data specification. It is embedded with every Atom 1.0 Content node. <xs:complextype> <xs:sequence> <xs:element minoccurs="0" name="pedigreeinfo" type="hdmd:pedigreeinfo"> This optional node holds the pedigree information for the Section. <xs:element name="id" type="xs:string"> This required element holds an identifier for the Section. It MUST be unique over any given Section feed. <xs:element name="title" type="xs:string"> This required element holds the title of the Section. <xs:element minoccurs="0" name="linkeds"> This optional node holds a list of URI links to documents that are related to this Section. Use depends on the semantics of the Section Type. <xs:complextype> <xs:sequence> "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

16 "#$%&'('$)*+,-.$/,-0'($12345$ <xs:element maxoccurs="unbounded" name="link" type="hdmd:linkinfo"/> </xs:sequence> <xs:element name="recorddate"> This required node holds the information about creation and modification. <xs:complextype> <xs:sequence> <xs:element name="createddatetime" type="xs:datetime"> This required element contains the datetime of creation of this documment. If this document is not derived (see PedigreeInfo), this is the time of the creation of the original. If this document is derived from another origin, this element contains the date of derivation. <xs:element minoccurs="0" name="modified"> This optional node is first created when the document is changed for the first time. It contains a collection of modification dates with optional pedigree information of the modifier. <xs:complextype> <xs:sequence minoccurs="1" maxoccurs="unbounded"> <xs:element name="modifieddatetime" type="xs:datetime"> This required element record a datetime when the document was modified. <xs:element minoccurs="0" name="pedigreeinfo" type="hd-md:pedigreeinfo"> "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

17 "#$%&'('$)*+,-.$/,-0'($12345$ This optional node contains the pedigree information of the modifier. </xs:sequence> </xs:sequence> <xs:element minoccurs="0" name="confidentiality" type="xs:string"> This element contains controls for confidentiality - details are TBD. <xs:element minoccurs="0" name="accesscontrol"> This element contains controls for access control - details are TBD. <xs:element minoccurs="0" name="consent"> This element contains controls for consent - details are TBD. </xs:sequence> <xs:attribute name="mediatype" type="xs:string"> This attribute contains the media type of the document itself. If it is not present, the default media type of the content type is assumed. "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

18 "#$%&'('$)*+,-.$/,-0'($12345$ </xs:attribute> <xs:attribute name="contenttype" type="xs:anyuri" use="optional"> This attribute contains the URI for the content type of this document. If it is not present, the content type for the Section is implied. Note that the current hdata Content Profiles assume that the content type for all Section s within a given Section is uniform. </xs:attribute> <xs:complextype name="pedigreeinfo"> This node contains the pedigree information. <xs:sequence> <xs:element minoccurs="0" name="xmlsignature" maxoccurs="unbounded"> This optional node contains the signature information on the document or this meta data. <xs:complextype> <xs:sequence> <xs:element ref="ds:signature"> This Signature MUST contain: 1. a valid Reference to either the metadata or the Section 2. the ds:keyinfo for the signer (optional with DSig - required here) </xs:sequence> <xs:attribute name="documentmethod"> This optional attribute indicates what method was used to transform binary Section mediatypes into XML files for signature. Currently the only permitted methods are xml and base64. xml is the default XML signature over XML "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

19 "#$%&'('$)*+,-.$/,-0'($12345$ documents. base64 encodes a data stream into an XML document. The root node it root and contains the BASE64 encoded data. <xs:simpletype> <xs:restriction base="xs:string"> <xs:enumeration value="base64"/> <xs:enumeration value="xml"/> <xs:enumeration value="sha256"/> </xs:restriction> </xs:simpletype> </xs:attribute> <xs:element minoccurs="0" maxoccurs="1" name="source"> This node indicates the source of this data. <xs:complextype> <xs:sequence> <xs:element name="pedigreeinfo" type="hd-md:pedigreeinfo" minoccurs="0"/> <xs:element maxoccurs="unbounded" minoccurs="0" name="" type="hd-md:linkinfo"/> </xs:sequence> <xs:attribute name="derived" type="xs:boolean"> If the data is derived (i.e. copied or compiled from other sources) this attribute MUST be set to true. </xs:attribute> <xs:element minoccurs="0" name="author" type="xs:string"> The identifier of the creators of this document. For derived documents, this is the author. Note that this identifier can identify machines as well as humans. <xs:element minoccurs="0" name="organization" type="xs:string"> This element identifies the organization. </xs:sequence> "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

20 "#$%&'('$)*+,-.$/,-0'($12345$ <xs:complextype name="linkinfo"> <xs:sequence> <xs:element name="target" type="xs:anyuri"/> <xs:any maxoccurs="unbounded" minoccurs="0"/> </xs:sequence> </xs:schema>

21 "#$%&'('$)*+,-.$/,-0'($12345$ H >D.$.+C0)&%'+EF./250+7-&#8-&%/.$*90:+ ()5<<*@45060>4956*<3<5:29*)H343-*@01;4)34@064356<P[R/06456>54O0Q/31*H0@>:*64<U//HVG<5:295Q5*; ;0@>:*64<@ I56Q01:345063=0>4399*1I5*<G:*;5@34506<G36;B5439<5I6<G36;13;5090IO5:3I*1O7()* Q0990J56IQ5I>1*599><4134*<4)*)5I)&9*B*9<41>@4>1*0Q4)**Y3:29*1*@01;7 hdata Record root.xml Supports CCD, allergies, medication, vital signs, DICOM X-Ray org.hl7.ccd Contains CCD documents for the patient. Holds the hdata metadata for the CCDs CCDs com.provider.xray Contains DICOM X-Ray for the patient. Holds the hdata metadata for the images DICOMs org.hl7.simplified allergies Contains simplified allergy documents for the patient. Holds the hdata metadata for the allergy documents allergies medications medications vital signs vital signs "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

22 "#$%&'('$)*+,-.$/,-0'($12345$ H, %&&$,F/5+D&)(/0#$+ <?xml version="1.0" encoding="utf-8"?> <root xmlns:xsi=" xmlns=" <id> </id> <version>1</version> <created> t15:01:35-5:00</created> <lastmodified> t19:35:44-5:00</lastmodified> <extensions> <extension extensionid="1" contenttype="application/hl7-sda+xml"> </extension> <extension extensionid="2" contenttype="application/dicom"> </extension> <extension extensionid="3" contenttype="application/xml" </extension> <extension extensionid="4" contenttype="application/xml" </extension> <extension extensionid="5" contenttype="application/xml" </extension> <extension extensionid="6"> urn:empty </extension> </extensions> <sections> <section path="org.hl7.ccd" extensionid="1" /> <section path="com.provider.xray" extensionid="2" /> <section path="org.hl7.simplified" extensionid="6"> <section path="allergies" extensionid="3" /> <section path="medications" extensionid="4" /> <section path="vital signs" extensionid="5" /> </section> </sections>

23 "#$%&'('$)*+,-.$/,-0'($12345$ </root> *Y4*6< H,3 B0)$*&#+D&)(/0#$+J0$.'.$.+ <?xml version="1.0" encoding="utf-8"?> <feed xmlns=" xmlns:hrf-md=" <title>/org.hl7.simplified/allergies</title> <link href=" rel="self" /> <updated> t18:30:02z</updated> <entry> <id>allergy1.xml</id> <link href=" xml" type="application/xml"/> <updated> t18:30:02z</updated> <content> <hrf-md:metadata> <hrf-md:id>allergy1.xml</hrf-md:id> <hrf-md:recorddate> <hrf-md:createdatetime> T09:21:55Z

24 "#$%&'('$)*+,-.$/,-0'($12345$ </hrf-md:createddatetime> <hrf-md:modified> <hrf-md:modifieddatetime> T18:30:02Z </hrf-md:modifieddatetime> </hrf-md:modified> </hrf-md:recorddate> <hrf-md:linkeds> <hrf-md:linkinfo> <hrf-md:target> </hrf-md:target> </hrf-md:linkinfo> </hrf-md:linkeds> </hrf-md:metadata> </content> </entry> <entry> <id>allergy2.xml</id> <link href=" xml" type="application/xml"/> <updated> t12:21:11z</updated> <content> <hrf-md:metadata> <hrf-md:id>allergy1.xml</hrf-md:id> <hrf-md:pedigreeinfo> <hrf-md:author>dr. John Doe</hrf-md:Author> <hrf-md:organization>sample Provider, Inc.</hrf-md:Organization> </hrf-md:pedigreeinfo> <hrf-md:recorddate> <hrf-md:createdatetime> T12:21:11Z </hrf-md:createddatetime> </hrf-md:recorddate> </hrf-md:metadata> </content> </entry> </feed> H,; >D.$.+<&#$0#$+Q%&P*50+D0P*#*$*&#+D&)(/0#$+ <?xml version="1.0" encoding="utf-8"?> <hcp xmlns:xsi=" xmlns="

25 "#$%&'('$)*+,-.$/,-0'($12345$ xmlns:hrf=" id=" name="example hdata Content Profile" > <hrf:extensions> <hrf:extension extensionid="1" contenttype="application/hl7-sda+xml"> </hrf:extension> <hrf:extension extensionid="2" contenttype="application/dicom"> </hrf:extension> <hrf:extension extensionid="3" contenttype="application/xml" </hrf:extension> <hrf:extension extensionid="4" contenttype="application/xml" </hrf:extension> <hrf:extension extensionid="5" contenttype="application/xml" </hrf:extension> <hrf:extension extensionid="6"> urn:empty </hrf:extension> </hrf:extensions> <hrf:sections> <hrf:section path="org.hl7.ccd" extensionid="1" /> <hrf:section path="com.provider.xray" extensionid="2" /> <hrf:section path="org.hl7.simplified" extensionid="6" requirement="optional"> <hrf:section path="allergies" extensionid="3" requirement="optional" /> <hrf:section path="medications" extensionid="4" requirement="optional" /> <hrf:section path="vital signs" extensionid="5" requirement="optional" /> </hrf:section> </hrf:sections> </hcp> I V*W5*&@%.2>6+ \']E7F*>@)*94G-7H56IJ*99GA7E1*I010J5@KG36;P7N9**2*1GkP[R)H343-.N(Q>9(136<2014N2*@5Q5@34506Gk()* +,(-./ G#$$%7 \#]ZS/b+[N5I634>1*NO643Y36;?10@*<<56IUN*@06;.;54506VG)442fggJJJ7JS701Ig(-gY:9;<5I&@01*gGZS/ /06<0145>: \S]-*<0>1@*H51*@401OH*<@ [36I>3I*U-HH[VG)442fggJJJ71;;9701IgGc7F01;06G(7F13O "#$$%&''()*+,(-./ :54*;;5<415=>45067?>=95@-*9*3<*A2210B39$%&CD''

26 "#$%&'('$)*+,-.$/,-0'($12345$ #$$h

Oracle B2B 11g Technical Note. Technical Note: 11g_005 Attachments. Table of Contents

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