Referral module (Version 2.3, new module) |
IntroductionThe referral module is expressed as mmlRe:ReferralModule. For easier use, an unstructured, flat form was adopted for the elements that are included in this module. Since the referral module utilizes MML as a higher-level standard, the provisions that are included in the MML specifications apply to the referral module as well.
Overview
The referral module is a method of data interchange used to link ailments and diagnoses, based on a letter of referral. Although the letter of referral is the written clinical information offer shown in Form 6, the letter of referral issued by a given medical facility may differ slightly from that of Form 6. Here, based on Form 6, the minimum data set for data interchange is defined and presented. The minimum data set is used to express the letter of referral and refers to the minimum number of words that are used to define it as a newly introduced module in MML. During the actual creation of a letter of referral, for example, a patient information module that is already defined in MML is used for the patient information. In short an element group defined by mmlPi:PatientModule is used for patient information such as name, birth date, address, and telephone number.
Similarly, for data such as images, test results, and prescriptions that can be attached to a letter of referral and are already classified by mmlCm:medicalRole of the external reference format (MML common format), it is recommended that the external file viewed from the MML instance be referred to, using the external reference format mmlCm:extRef element. On the other hand, using the test history information module makes it possible to standardize the mmlRe:testResults test results with XML. Furthermore, the mmlRe:medication prescription can be expressed using a different module, a CLAIM module, which is a data interchange method that links electronic medical chart and clinical accounting systems. Using this module makes it possible to standardize with XML.
Similarly, for the creator of the letter of referral, the MML common format (creator information format) mmlCi:CreatorInfo is used to match the actual creator of the letter of referral to the creator information generated with the referral module instance. The MML common format (personal information format) mmlPsi:PersonalizedInfo is used for the subject and medical institution that employs the doctor who created the letter of referral.namespaces declaration
The namespaces declaration for this module is as follows:
xmlns:mmlRe="http://www.medxml.net/MML/ContentModule/Referral/1.0"
Document header information (docInfo) module detail specification
docInfo
MML0005 table “referral” must be input for the contentModuleType attribute.title
A title that indicates the content of the letter of referral must be input.
MML0007 table “consult” must be input for the generationPurpose attribute.confirmDate
This is the referral module creation date.mmlCi:CreatorInfo
The document creator in the referral module is the writer of the letter of referral. The introducer (mmlRe:referFrom) and writer (mmlCi:CreatorInfo) may not be the same due to the use of a substitute writer, for instance.extRefs
The mmlCm:extRef element in the referral module is provided. Only the number of external link information items provided is repeated.content
Just one referral module is inserted for a single content.
Element list
Elements
Attribute
Datatypes
Occurrence
Table id
1
mmlRe:ReferralModule
1.1.
Å
mmlPi:PatientModule
1.2.
Å
mmlRe:occupation
string
?
1.3.
Å
mmlRe:referFrom
Å
Å
mmlPsi:PersonalizedInfo
1.4.
Å
mmlRe:title
string
1.5.
Å
mmlRe:greeting
string
?
1.6.
Å
mmlRe:chiefComplaints
string
1.7.
Å
mmlRe:clinicalDiagnosis
?
1.8.
Å
mmlFcl:pastHistory
string
?
1.8.1.
mmlCm:extRef
*
1.9.
Å
mmlFcl:familyHistory
string
?
1.9.1.
mmlCm:extRef
*
1.10.
Å
mmlRe:presentIllness
string
1.10.1.
mmlCm:extRef
*
1.11.
Å
mmlRe:testResults
string
?
1.11.1.
mmlCm:extRef
*
1.12.
Å
mmlSm:clinicalCourse
?
1.13.
Å
mmlRe:medication
string
?
1.13.1.
mmlCm:extRef
*
1.14.
Å
mmlRe:referPurpose
string
1.15.
Å
mmlRe:remarks
string
?
1.15.1.
mmlCm:extRef
*
1.16.
Å
mmlRe:referToFacility
1.16.1.
Å
Å
mmlFc:Facility
1.16.2.
mmlDp:Department
?
1.17.
Å
mmlRe:referToPerson
?
1.17.1.
Å
Å
mmlPsi:PersonalizedInfo
1.18.
Å
mmlRe:referToUnknownName
string
?
Occurrence None: 1 appearance without fail, ?: 0 or 1 appearance, +: 1 or more appearance, *: 0 or more appearance#REQUIRED: Mandatory attribute, #IMPLIED: Omissible attribute
Element explanation
1.mmlRe:ReferralModule
[Detail] Referral module. A single act of a single doctor creating a letter of referral is placed in a single module.
[Omission] Not allowed
1.1.mmlPi:PatientModule
[Detail] Patient information. Patient information such as name, birth date, address, and telephone number. Refer to the MML module (patient information module) for the structure.
[Omission] Not allowed
1.2.mmlRe:occupation
[Detail] Occupation
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.3. mmlRe:referFrom
[Detail] Parent element containing introducer information
[Omission] Not allowed
1.3. 1. mmlPsi:PersonalizedInfo
[Detail] Introducer. Refer to the MML common format (personal information format) mmlPsi:PersonalizedInfo for the structure.
[Omission] Not allowed
1.4. mmlRe:title
[Detail] Title. Letter of referral, clinical information offer, etc. This is also set up for conceivable test requests in the future.
[Omission] Not allowed
1.5. mmlRe:greeting
[Detail] Greetings
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
[Example]--------------------------------------------
<mmlRe:greeting>
Dear Sir or Madam: Thank you for the professional medical care services that you provide to patients.<xhtml:br/>
At this time I would like to refer the following patient to you.<xhtml:br/>
I sincerely appreciate your taking time from your busy schedule to examine this patient.
</mmlRe:greeting>
--------------------------------------------
1.6.mmlRe:chiefComplaints
[Detail] Chief complaints
[Omission] Not allowed
[Document layout] Use of XHTML allowed
1.7.mmlRe:clinicalDiagnosis
[Detail] Name of ailment. With this element the ailment name is written using XHTML, without particular structuring. If structuring is required, a diagnosis information module is created separately and bundled with the referral module, using the groupId.
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.8.mmlRe:pastHistory
[Detail] Past history. Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Allowed
[Document layout] Use of XHTML allowed
1.8.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams and graphs are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.9.mmlRe:familyHistory
[Detail] Family history. Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.9.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams and tables are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.10. mmlRe:presentIllness
[Detail] Condition development. Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Not allowed
[Document layout] Use of XHTML allowed
1.10.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams and tables are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.11.mmlRe:testResults
[Detail] Test results. Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.11.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams, graphs, and tables are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.12. mmlSm:clinicalCourse
[Detail] Treatment progress. Refer to the MML module (clinical summary module) mmlSm:clinicalCourse for the structure.
[Omission] Omission allowed
1.13.mmlRe:medication
[Detail] Current medication (prescription). Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.13.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams, files, and tables are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.14.mmlRe:referPurpose
[Detail] Purpose of referral
[Omission] Not allowed
[Document layout] Use of XHTML allowed
1.15. mmlRe:remarks
[Detail] Remarks. Text (#PCDATA) and mmlCm:extRef can be mixed.
[Omission] Omission allowed
[Document layout] Use of XHTML allowed
1.15.1.mmlCm:extRef
[Detail] MML common format (external reference format) is used when external reference diagrams, files, and tables are attached.
[Repetition setting] Repeated. If multiple external reference files are available, the data should be repeated.
1.16.mmlReÅFreferToFacility [Detail] Name of medical institution being referred to. Parent element containing facility information.
[Omission] Not allowed
1.16.1. mmlFc:Facility
[Detail] Medical institution being referred to. The MML common format (facility information format) mmlFc:Facility is used for the structure.
[Omission] Not allowed
1.16.2. mmlDp:Department
[Detail] Department being referred to. The MML common format (facility information format) mmlDp:Department is used for the structure.
[Omission] Allowed
1.17.mmlRe:referToPerson
[Detail] Name of doctor being referred to. Parent element containing name information.
[Omission] Omission allowed
1.17.1. mmlPsi:PersonalizedInfo
[Detail] Doctor being referred to. The MML common format (personal information format) mmlPsi:PersonalizedInfo is used for the structure.
1.18. mmlRe:referToUnknownName
[Detail] Reference to unspecified doctor
[Omission] Omission allowed