SanteDB History

This page describes the history of the SanteDB project.

SanteDB is the evolution of a reference implementation of the Canadian national digital health platform that originated in a post-secondary institution research lab beginning in 2007. SanteDB was designed with national scale, standards-based digital health applications in mind from the beginning. 
The SanteDB suite of products incorporates the full functionality of previous research products such as the MEDIC CR client registry and the OpenIZ immunization management system into a deployment-ready, commercially supported package. A brief summary of the evolution of the products is provided in the following section.  
Evolution of SanteDB
SanteDB is really an evolution of OpenIZ (http://openiz.org) which itself was an evolution of the MARC-HI SHR RI. The table below illustrates the relative features of each solution.
Feature
MARC-HI SHR RI
OpenIZ
SanteDB iCDR
Platform Information
​
​
​
Original Release Year
2011
2016
2019
MARC-HI Service Core Generation
V1
V2
N/A
Technologies / Frameworks
.NET 2.0
.NET 4.0, Xamarin, AngularJS 1.5
.NET 4.5, Xamarin, AngularJS 1.7
Primary Role(s)
Clinical Data Repository (CDR)
Electronic Immunization Record (EIR)
Clinical Data Repository (CDR)
Deployment / Operationalization
​
​
​
Server Environment(s)
Windows Server 2003+
Windows Server 2008R2+
Windows Server 2008R2+, Linux, MacOS
Client Environments
​
Android 4.4+, Windows 7+, Linux, MacOS
Android 5.0+, Windows 8+, Linux, MacOS
RDBMS Support
PostgreSQL 9.2
PostgreSQL 9.4, SQLite, MSSQL 2008+
PostgreSQL 10, FirebirdSQL 3.3, Oracle 11g,   SQLite
Scale-Out
DB: Streaming Replication, App Server: Round-Robin DNS
DB: Streaming Replication, App Server: Round-Robin DNS
DB: Streaming Replication,  App Server: Round-Robin DNS, Role-Based Scale-out
Information Model
​
​
​
Model
Component Model
HL7 RIM
HL7 RIM
Encounters
​
X
X
Substance Administrations
X
X
X
Observations
X
X
X
Clinical Procedures
X
​
X
Finance (Account, Invoice, etc.)
​
​
X
Patient Administration
​
X
X
Administrative Units (Place, Organization, etc.)
​
X
X
Versioning
X
X
X
Extendibility
​
​
​
Clinical Decision Support Engine
​
X
X
Business Rules / Data Triggers
​
X
X
Plugins (.NET)
X
X
X
Security / Accountability
​
​
​
ACL Paradigm
​
Policy-Based
Policy Based w/Override
Authentication Methods
X509 PKI
OAUTH, HTTP BASIC
OAUTH, HTTP-BASIC, X509 PKI
Auditing
RFC3881
RFC3881, NEMA DICOM
RFC3881, NEMA DICOM, HL7 FHIR STU3
Standards & Interoperability
​
​
​
HL7v2.x
X
X
X
HL7v3
X
​
​
HL7 CDA
X
​
​
HL7 FHIR
DSTU1
DSTU2
R3
Other Interfaces
​
GS1 BMS XML 3.3
GS1 BMS XML 3.3
Optimization / Extra
​
​
​
HTTP Compression
Responses Only
Bi-Directional BZ2, GZ, DF, LZMA
Bi-Directional BZ2, GZ, DF, LZMA
Data Caching
Memory Cache Only
Memory Cache, REDIS
Memory Cache, REDIS
Matching / Merging Engine
​
​
Probabilistic Matching Engine
Master-Data-Model Management
​
​
X
Reporting
3rd Party
Jasper Reports, ReportR 1.0
ReportR 2.0
​

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Solution Architecture

Last modified 1yr ago

Feature	MARC-HI SHR RI	OpenIZ	SanteDB iCDR
Platform Information
Original Release Year	2011	2016	2019
MARC-HI Service Core Generation	V1	V2	N/A
Technologies / Frameworks	.NET 2.0	.NET 4.0, Xamarin, AngularJS 1.5	.NET 4.5, Xamarin, AngularJS 1.7
Primary Role(s)	Clinical Data Repository (CDR)	Electronic Immunization Record (EIR)	Clinical Data Repository (CDR)
Deployment / Operationalization
Server Environment(s)	Windows Server 2003+	Windows Server 2008R2+	Windows Server 2008R2+, Linux, MacOS
Client Environments		Android 4.4+, Windows 7+, Linux, MacOS	Android 5.0+, Windows 8+, Linux, MacOS
RDBMS Support	PostgreSQL 9.2	PostgreSQL 9.4, SQLite, MSSQL 2008+	PostgreSQL 10, FirebirdSQL 3.3, Oracle 11g, SQLite
Scale-Out	DB: Streaming Replication, App Server: Round-Robin DNS	DB: Streaming Replication, App Server: Round-Robin DNS	DB: Streaming Replication, App Server: Round-Robin DNS, Role-Based Scale-out
Information Model
Model	Component Model	HL7 RIM	HL7 RIM
Encounters		X	X
Substance Administrations	X	X	X
Observations	X	X	X
Clinical Procedures	X		X
Finance (Account, Invoice, etc.)			X
Patient Administration		X	X
Administrative Units (Place, Organization, etc.)		X	X
Versioning	X	X	X
Extendibility
Clinical Decision Support Engine		X	X
Business Rules / Data Triggers		X	X
Plugins (.NET)	X	X	X
Security / Accountability
ACL Paradigm		Policy-Based	Policy Based w/Override
Authentication Methods	X509 PKI	OAUTH, HTTP BASIC	OAUTH, HTTP-BASIC, X509 PKI
Auditing	RFC3881	RFC3881, NEMA DICOM	RFC3881, NEMA DICOM, HL7 FHIR STU3
Standards & Interoperability
HL7v2.x	X	X	X
HL7v3	X
HL7 CDA	X
HL7 FHIR	DSTU1	DSTU2	R3
Other Interfaces		GS1 BMS XML 3.3	GS1 BMS XML 3.3
Optimization / Extra
HTTP Compression	Responses Only	Bi-Directional BZ2, GZ, DF, LZMA	Bi-Directional BZ2, GZ, DF, LZMA
Data Caching	Memory Cache Only	Memory Cache, REDIS	Memory Cache, REDIS
Matching / Merging Engine			Probabilistic Matching Engine
Master-Data-Model Management			X
Reporting	3rd Party	Jasper Reports, ReportR 1.0	ReportR 2.0