Building a portable data and information interoperability infrastructure-framework for a standard Taiwan Electronic Medical Record Template

Wen Shan Jian, Chien Yeh Hsu, Te Hui Hao, Hsyien Chia Wen, Min Huei Hsu, Yen Liang Lee, Yu Chuan Li, Polun Chang

Research output: Contribution to journalArticlepeer-review

45 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)102-111
Number of pages10
JournalComputer Methods and Programs in Biomedicine
Volume88
Issue number2
DOIs
Publication statusPublished - Nov 2007

Keywords

  • EHR
  • EMR
  • Schema
  • Standard
  • Template
  • TMT

ASJC Scopus subject areas

  • Software

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