TY - GEN
T1 - Patient information exchange guideline MERIT-9 using medical markup language MML
AU - Kimura, Michio
AU - Ohe, Kazuhiko
AU - Yoshihara, Hiroyuki
AU - Ando, Yutaka
AU - Kawamata, Fumiaki
AU - Hishiki, Teruyoshi
AU - Ohashi, Katsunori
AU - Sakusabe, Takaya
AU - Tani, Shigeki
AU - Akiyama, Masanori
PY - 1998
Y1 - 1998
N2 - To realize clinical data exchange between healthcare providers, there must be many standards in many layers. Terms and codes should be standardized, syntax to wrap the data must be mutually parsable, then transfer protocol or exchange media should be agreed. Among many standards 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 standardfor 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 Records, 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.
AB - To realize clinical data exchange between healthcare providers, there must be many standards in many layers. Terms and codes should be standardized, syntax to wrap the data must be mutually parsable, then transfer protocol or exchange media should be agreed. Among many standards 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 standardfor 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 Records, 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.
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U2 - 10.3233/978-1-60750-896-0-4333
DO - 10.3233/978-1-60750-896-0-4333
M3 - Conference contribution
C2 - 10384494
AN - SCOPUS:84887656437
SN - 9051994079
SN - 9789051994070
T3 - Studies in Health Technology and Informatics
SP - 433
EP - 437
BT - MedInfo 1998 - 9th World Congress on Medical Informatics
PB - IOS Press
T2 - 9th World Congress on Medical Informatics, MedInfo 1998
Y2 - 18 August 1998 through 22 August 1998
ER -