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description
This page describes the history of the SanteDB project.

SanteDB History

SanteDB is not a new application framework developed in isolation, rather it is an evolution of existing MEDIC products in a more easily customized package.

Evolution of SanteDB

SanteDB is really an evolution of OpenIZ ([http://openiz.org](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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