# RFI

**URL:** https://discourse.openehr.org/t/rfi/12280
**Category:** Technical (archive)
**Created:** [27 February 2007 18:07 UTC](https://discourse.openehr.org/t/rfi/12280 "2007-02-27T18:07:08Z")
**Posts on this page:** 1
**Page:** 1

<div class="post-metadata">

### Author: ![Brian](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/b/97f17d/32.png) [@Brian](https://discourse.openehr.org/u/Brian)
#### Post date: [27 February 2007 18:07 UTC](https://discourse.openehr.org/t/rfi/12280/1 "2007-02-27T18:07:08Z")

</div>

Dear All,

I’ve been reviewing EHR architectures recently, and I’ve been quite  
impressed with openEHR. I am inclined to use openEHR for a “greenfield”  
implementation, and I have some initial questions after reading the  
architecture overview, ADL specification and various other documents.

Our initial implementation is for a small clinic (\<500 patients) that  
offers health / wellness and anti-aging therapies. We have a near-term  
requirement to store LOINC encoded HL7 lab results and other  
observations in an EHR and to display aggregates of these results to  
patients over the internet. Many of the archetypes already exist for the  
data we are most interested in such as lab result, BMI, CBC, visual  
acuity, microbiology, etc. We will also need to develop our own  
archetypes for SNPs, reaction times, lung capacity and other relevant  
data collected by the clinic. Ultimately we will enable decision support  
services to guide patients toward various health goals (e.g. lower  
homocysteine, cholesterol, BP).  
What is the strategy for integrating clinical decision support? Are  
there any CDS languages that map more cleanly to openEHR than others?  
(e.g. GLIF3, SAGE, Arden)  
It's been almost a year since there has been an update to HYPERLINK  
"[http://www.openehr.org/FAQs/t\_persistence\_notes.htm&quot;http://www.openehr](http://www.openehr.org/FAQs/t_persistence_notes.htm&quot;http://www.openehr).  
org/FAQs/t\_persistence\_notes.htm by Thomas. Recent commentary by David  
Ingram mentions his work with Jo Milan on high-performance object  
relational structures for archtypes. I assume this is the latest  
development on this front, and if so, is their work available as a  
persistence architecture yet?  
Most importantly, is anyone from the community available for part-time  
consulting? As a startup, we have all the usual sensitivities to cost  
and time-to-market.  
Thank you for your time and patience if my questions are incoherent.  
Brian DeCamp