Building a portable data and information interoperability infrastructure-framework for a standard Taiwan Electronic Medical Record Template.
Traditional electronic health record (EHR) data are produced from various hospital information systems. They could not have existed independently without an information system until the incarnation of XML technology. The interoperability of a healthcare system can be divided into two dimensions: functional interoperability and semantic interoperability. Currently, no single EHR standard exists that provides complete EHR interoperability. In order to establish a national EHR standard, we developed a set of local EHR templates. The Taiwan Electronic Medical Record Template (TMT) is a standard that aims to achieve semantic interoperability in EHR exchanges nationally. The TMT architecture is basically composed of forms, components, sections, and elements. Data stored in the elements which can be referenced by the code set, data type, and narrative block. The TMT was established with the following requirements in mind: (1) transformable to international standards; (2) having a minimal impact on the existing healthcare system; (3) easy to implement and deploy, and (4) compliant with Taiwan's current laws and regulations. The TMT provides a basis for building a portable, interoperable information infrastructure for EHR exchange in Taiwan.
Jian
Wen-Shan
WS
Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.
Hsu
Chien-Yeh
CY
Hao
Te-Hui
TH
Wen
Hsyien-Chia
HC
Hsu
Min-Huei
MH
Lee
Yen-Liang
YL
Li
Yu-Chuan
YC
Chang
Polun
P
D003695:Delivery of Health Care; D006801:Humans; D008498:Medical Record Linkage / Q000592:standards*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D013624:Taiwan