| Summary: | 博士 === 國立陽明大學 === 公共衛生研究所 === 95 === Traditional electronic health record (EHR) data are produced from various hospital information systems. They could not have independently existed without an information system until the XML technology had matured. 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 an attempt 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 can be referenced by the code set, data type, and narrative block. The TMT was established with the following requirements in mind: (1) being compatible with international medical information standards, such as HL7 CDA; (2) having minimal impact on the existing medical system; (3) being easy to implement and deploy, and (4) being compliant with Taiwan’s existing laws and regulations. The TMT provides a basis for building a portable, interoperable information infrastructure for EHR exchanges in Taiwan.
Keywords: TMT, CDA, EMR, EHR, Template, Schema, Standard.
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