Abstract
The clinical chart remains the fundamental record of outpatient clinical care. As this information migrates to electronic form, there is an opportunity to create standard formats for transmitting these charts. This paper describes work toward a Portable Chart Format (PCF) that can represent the relevant aspects of an outpatient chart. The main goal of the format is to provide a packaging medium for outpatient clinical charts in a transfer of care scenario. A secondary goal is to support the aggregation of comparable clinical data for outcomes analysis. The syntax used for PCF is Extended Markup Language (XML), a W3C standard. The structure of the PCF is based on a clinically relevant view of the data. The data definitions and nomenclature used are based primarily on existing clinical standards.
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- Barnett G. O. The application of computer-based medical-record systems in ambulatory practice. N Engl J Med. 1984 Jun 21;310(25):1643–1650. doi: 10.1056/NEJM198406213102506. [DOI] [PubMed] [Google Scholar]
- Chueh H. C., Barnett G. O. Client-server, distributed database strategies in a health-care record system for a homeless population. J Am Med Inform Assoc. 1994 Mar-Apr;1(2):186–198. doi: 10.1136/jamia.1994.95236148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chueh H. C., Raila W. F., Pappas J. J., Ford M., Zatsman P., Tu J., Barnett G. O. A component-based, distributed object services architecture for a clinical workstation. Proc AMIA Annu Fall Symp. 1996:638–642. [PMC free article] [PubMed] [Google Scholar]
- Cimino J. J., Socratous S. A., Clayton P. D. Internet as clinical information system: application development using the World Wide Web. J Am Med Inform Assoc. 1995 Sep-Oct;2(5):273–284. doi: 10.1136/jamia.1995.96073829. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dolin R. H., Alschuler L., Bray T., Mattison J. E. SGML as a message interchange format in healthcare. Proc AMIA Annu Fall Symp. 1997:635–639. [PMC free article] [PubMed] [Google Scholar]
- Dolin R. H. Outcome analysis: considerations for an electronic health record. MD Comput. 1997 Jan-Feb;14(1):50–56. [PubMed] [Google Scholar]
- Halamka J. D., Safran C. Virtual consolidation of Boston's Beth Israel and New England Deaconess Hospitals via the World Wide Web. Proc AMIA Annu Fall Symp. 1997:349–353. [PMC free article] [PubMed] [Google Scholar]
- Kohane I. S., van Wingerde F. J., Fackler J. C., Cimino C., Kilbridge P., Murphy S., Chueh H., Rind D., Safran C., Barnett O. Sharing electronic medical records across multiple heterogeneous and competing institutions. Proc AMIA Annu Fall Symp. 1996:608–612. [PMC free article] [PubMed] [Google Scholar]
- Kuperman G., Bates D. W. Standardized coding of the medical problem list. J Am Med Inform Assoc. 1994 Sep-Oct;1(5):414–415. doi: 10.1136/jamia.1994.95153430. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lowe H. J., Lomax E. C., Polonkey S. E. The World Wide Web: a review of an emerging internet-based technology for the distribution of biomedical information. J Am Med Inform Assoc. 1996 Jan-Feb;3(1):1–14. doi: 10.1136/jamia.1996.96342645. [DOI] [PMC free article] [PubMed] [Google Scholar]