Archetypes and Standards for Medical Information Interchange Dimitar Tcharaktchiev 1 , Vesselin E. Gueorguiev 2 , Ivan Evg. Ivanov 3 1 Medical University – Sofia, University Hospital of Endocrinology Sofia, Bulgaria dimitardt@orange.fr 2 Technical University Sofia Sofia, Bulgaria veg@tu-sofia.bg 3 Technical University Sofia Sofia, Bulgaria iei@tu-sofia.bg Abstract The extensive usage of mobile devices for vital signs collection and the use of ordinary communication networks for data transportation enabled many new opportunities but opened many new problems. In the area of medical information collection, transportation, presentation, and analysis there are a lot of standards. Many of them contradict each other. The standardization in the area of data transfer between Hospital Information Systems and mobile devices is very complicated task. Standards selection and implementation is a hard process. This paper pretends to present some of the available standards concerning medical data exchange and how these standards can be followed and implemented in mobile solutions. Keywords: Electronic Health Record, mobile device, telemedicine; health informatics standards; conformance. 1. Introduction “Be careful about reading health books. You may die of a misprint”. Mark Twain In the era of the information society a lot of medical processes implemented on-the-field before now are running remotely. The growing age of the population and the increased need of individual health support changed the stress of home and post-hospital care. The increasing use of mobile and individual healthcare devices is one of the major tendencies in out-of-hospital care. Most of these cannot work outside their servers and service software. Transition of health data between hospitals, healthcare providers and health insurance companies is still very limited. Some of these limitations are defined by law restrictions, but many result from data format differences and general incompatibilities. One way to solve these incompatibilities is to follow available standards and to maintain all new devices to be compatible with those standards. Common use and exchange of information between different actors in the healthcare process, in particular in clinical diagnostics process, is only possible if all partners adopt a common format, content, structure and meaning of exchanged messages. This article targets some ideas and standards for their implementation in the area of health informatics and the correspondence between them and new generations of personal mobile healthcare devices. This present paper is structured as follows: Section 2 presents the health care data exchange process and appropriate to it communication standards; Section 3 presents the archetypes as conceptual structures and their place in the medical data presentation process; Section 4 briefly presents the design steps for mobile device software outlined in the archetype concept; Section 5 concludes the paper. 2. Health data exchange and Communication standards Exchange and interaction between the different actors can be discussed in terms of infrastructure or of the application side. 2.1 Infrastructure level This level corresponds to the interchange formats related to communication and transport protocols used from layer 1 (physical ) to layer 6 (representative) of the OSI (Open System Interconnection) model [1] of the ISO (International Standard Organization). At this level, there are defined channels of communication (network connections, satellite communications, telephone systems). 2.2 Application level This level corresponds to the content of the message, and it ACSIJ Advances in Computer Science: an International Journal, Vol. 4, Issue 5, No.17 , September 2015 ISSN : 2322-5157 www.ACSIJ.org 133 Copyright (c) 2015 Advances in Computer Science: an International Journal. All Rights Reserved.