title: Discharge and referral data exchange using global standards--the SCIPHOX project in Germany.
abstract: The goal of the German project "Standardization of Communication between Information Systems in Physician Offices and Hospitals using XML" (aka SCIPHOX) in its first phase is to provide information exchange based on the Extended Markup Language XML between Hospital Information Systems (HIS) and Physician Office Systems (POS). The Clinical Document Architecture (CDA), a standard developed by the Health Level Seven organization (HL7), was chosen to serve as the "backbone" specification. The CDA is an ANSI approved document architecture for exchange of clinical information using XML. In phase I of the SCIPHOX project the proposal specifies the use of the CDA as a generalized international standard in the national context of discharge and referral letters in Germany. The specification defines how to use the CDA header and associated vocabularies by providing a translation and interpretation of the CDA header tags and provides a solution for taking local needs (insurance information etc.) into account.
authors.affiliation: Institute of Medical Statistics, Informatics and Epidemiology, University of Cologne, Joseph Stelzmann Street 9, Cologne 50931, Germany. kai.heitmann@medizin.uni-koeln.de
authors.forename: Kai U
authors.initials: KU
authors.lastname: Heitmann
authors.forename: Ralf
authors.initials: R
authors.lastname: Schweiger
authors.forename: Joachim
authors.initials: J
authors.lastname: Dudeck
mesh_terms: D003199:Computer Systems; D005858:Germany; D006751:Hospital Information Systems; D006801:Humans; D007802:Language; D016347:Medical Records Systems, Computerized / Q000592:standards*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D010824:Physicians' Offices; D011381:Programming Languages; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D018511:Systems Integration