Title
Patient information exchange guideline MERIT-9 using medical markup language MML.
Abstract
To realize clinical data exchange between healthcare providers, there must be many standards in many layers. Terms and codes should be standardizes syntax to wrap the data must be mutually parsable, then transfer protocol or exchange media should be agreed. Among many standard; for the syntax, HL7 and DICOM are most successful. However, everything could not be handled by HL7 solely. DICOM is good for radiology images, but, other clinical images are already handled by other "lighter" data formats like JPEG, TIFF. So, it is not realistic to use only one standard for every area of clinical information. For description of medical records, especially for narrative information, we created SGML DTD for medical information called MML(Medical Markup Language). it is already implemented in more than 10 healthcare providers in Japan. As it is a hierarchical description of information, it is easily used as a basis of object request brokering. It is again not realistic to use MML solely for clinical information in various level of detail. Therefore, we proposed a guideline for use of available medical standards to facilitate clinical information exchange between healthcare providers. It is called MERIT-9 (MEdical Record;, Images, Texts, - Information eXchange). A typical use is HL7 files, DICOM files, referred from an MML file in a patient record, as external entities. Both MML and MERIT-9 are research projects of Japanese Ministry of Health and Welfare, and the purpose is to facilitate clinical data exchanges. They are becoming to be used in technical specifications for new hospital information systems in Japan.
Year
Venue
Keywords
1998
Studies in Health Technology and Informatics
standard,clinical data,data exchange,electronic medical records,telemedicine
Field
DocType
Volume
Data mining,Information exchange,Medical markup language,Guideline,Medicine
Conference
52
ISSN
Citations 
PageRank 
0926-9630
0
0.34
References 
Authors
0
10
Name
Order
Citations
PageRank
M Kimura100.34
K Ohe200.68
H Yoshihara300.34
Y Ando4175.47
F Kawamata500.34
T Hishiki600.68
K Ohashi700.34
T Sakusabe882.38
S Tani900.34
M Akiyama1000.68