Archetype Development Process: A Case Study of Support Interoperability among Electronic Health Record in the State of Minas Gerais, Brazil

  • Thais Abreu MaiaEmail author
  • Cristiana Fernandes De Muylder
  • Zilma Silveira Nogueira Reis
Transactional Processing Systems
Part of the following topical collections:
  1. Health Information Systems & Technologies


The interoperability among electronic medical records requires a standard that guarantees the semantic persistency of information. The study proposes an archetypes development process to support the Electronic Health Record (EHR) in the State of Minas Gerais, Brazil. It was case study with a qualitative analysis of applied nature with methodological exploratory purposes. For this, there was a literature review on archetypes development processes. The selected studies had their processes compared. Then, an own archetypes development process was proposed, also considering the legislation of Unified Health System in Brazil. The process was tested in a proof of concept, a practical test on a theoretical proposal. The proposed governance model was considered adequate for the organization of EHR at such scenario. It is expected that with its effective implementation, the proposed process supports the interoperability among clinical data arising from different levels of health care services.


Electronic health record Archetype Unified health system Archetype governance process Archetype development process 



Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) and Secretaria de Estado de Saúde de Minas Gerais for the support to this research.

Author contributions

Thais Maia – Data research, theoretical and final paper version.

Cristiana Fernandes De Muylder – Professor, researcher and advisor – Theoretical, data and final paper version.

Zilma S. Nogueria Reis – Theoretical and text analysis.


This study was funded by:

• Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) - CNPQ Productivity Grant - 308461/2017–7 – Cristiana Fernandes De Muylder.

• Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) - FAPEMIG Universal APQ-01938-15 – Cristiana Fernandes De Muylder.

• Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) - FAPEMIG Edital PPSUS, n° APQ-00879-12 – Zilma Nogueira Reis.

Compliance with ethical standards

Conflict of interest

Thais Abreu Maia declares that she has no conflict of interest.

Cristiana Fernandes De Muylder declares that she has no conflict of interest.

Zilma Silveira Nogueira Reis declares that she has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.State Health Secretariat of Minas GeraisBelo HorizonteBrazil
  2. 2.FUMEC UniversityBelo HorizonteBrazil
  3. 3.Center of Health InformaticsFederal University of Minas Gerais (UFMG)Belo HorizonteBrazil

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