1. XML as a Communication Tool in Heath Care Stávek Petr

2. Utilization IT in health care  Heterogeneity of care providers groups general practitioners, specialists, teaching hospitals, laboratories, hospitals  Various levels of IT utilization  Various claims to functionality of applications  Necessity to share and interchange of patients data

3. Level of communication by turn 80th-90th  Exchange of report files ready for printing  Creation on individual company interface – structured and non-structured  Data exchange (and sharing) among several applications from various suppliers (authors, companies)  depends on agreement of used format  has a problem to choice an interface

4. DS version 1.10  Put into effect in July 1997  Structured ASCII file  Basic marker - @  Dependence of the information on the absolute position  Complication with upgrade  Absence of defined mechanism of file structure checking  Difficult „readability“ of information  Example of file Slb90008.11nSlb90008.11n

5. DS version 1.10  Basic characteristics of patients  Laboratory results and requirements  Medical reports  Urgent informations  Vaccinations  Used pharmaceuticals, drugs  Diagnoses  etc……….

6. Application of DS 1.10 in routine run  Has been used less than expected  Inconsistent description of a number of some items - creation of company clones  Less flexible upgrade  Absence of arbitrator

7. DS version 2.01.01 XML  Supported by Department of Informatics Ministry of Health CR  Put into effect in 1.6.2001  Based on previous version DS 1.21  DTD Structure Definition  „Readability“ of information  Flexible development of interface  Development of utilities  Example of Slbr0006.xmlSlbr0006.xml

8.  Basic characteristics of patients, laboratory results and requirements, medical reports, urgent informations, vaccinations, used pharmaceuticals, diagnoses, etc.  General solution of collisions in files  Solution of collisions in lab data  Packets for microbiology data  File attachements transfer – graphic files DS version 2.01.01 XML

9. Utilities  DS View - XML file viewer - XSL templates  DS Validator - SAX parser - mechanism of file structure checking

10. Exploitation of DS 2.0 XML to praxis  Implementation of premier suppliers of medical SW on the market  Really used communication - LIS x HIS - LIS x GP IS  Continual supplying according practical experience  Preparation of version 3 – transmission data to Health-care Information and Statistics Institute (ÚZIS in Czech)