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There are a number of different standard standards available for exchanging clinical information between disparate systems. For the OpenHIE Shared Health Record (SHR) we need to choose to support the standards that make the most sense for our environment. The chosen standard will be used to help define the format of the message that get exchanged with the SHR via its interface. OpenHIE implementations will focus on middle to low income countries so that we can make the most impact. Therefore, we have some key criteria that will influence the decision of what standards would be the 'best' to support. These are as follows:

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