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TRENDS June 01, 2003

XML-based Standard Record Proposed

(May 23, 2003) The State of Massachusetts for several years has mandated a standard paper document for use when physicians refer a patient for additional treatment. The document includes the patient's relevant past history, allergies, medications and a short care plan with recommendations for the next steps.

Now the Massachusetts Medical Society wants to digitize the document and use it as a base to develop a national standard for a Continuity of Care Record. "This is a simple document we hope will be adopted to transmit minimal information from one point of care to another," says Thomas Sullivan, M.D., president of the society.

The society has converted the paper document into an XML format and proposes physicians use it as an e-mail attachment, which also can be stored electronically. The society is creating a service to download the electronic Continuity of Care Record for free from its Web site; it hopes to have the service available by early fall.

The society also is considering ways to make the Continuity of Care Record available via a centralized Web repository to enable clinicians to easily access it before treating a patient and update it following treatment. The basic electronic format, however, is the first step, Sullivan says.

ASTM International, a New York-based standards development organization, will work to develop a national standard for the electronic Continuity of Care Record. The ASTM subcommittee E31.28 hopes to have a standard ready by the end of the year. Peter Waegemann, CEO of the Boston-based Medical Records Institute, chairs the subcommittee. Further, the Chicago-based Healthcare Information and Management Systems Society will assist in consensus-building and promotional efforts for the standard.

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