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- Dumb vs. Smart Service
- Is DTS a dumb service (told what to do) or smart service (see message and know what to do)
Incoming data destined for the SHR will be validated against existing terminology standards.
Outgoing data destined for external consumers may need to be translated to other coding systems.
in relation to working with interoperability layer (IOL)? - Approaches to Scalability
-How to improve message throughput - applications access DTS in real time or use curated copy of terminology. - Change management
-How to handle life cycle of terms. Continual periodic updates. Terms that are deprecated, superceded. - Deployment
- How terminology is disseminated throughout enterprise - via api call or sftp file transfer - SHR's persistence model
- single code or multiple codes
-only 1 cardinal code stored or 1 cardinal code plus 1 equivalence code stored (Ministry 1 coding system, Insurance other coding system)