The Common Medical Record

The Boston Collaborative defined a Common Medical Record for transferring emergency- and trauma-oriented data. It consists of various pieces of information about a patient that is expected to be available as a minimal set at every site.

At the moment, not every piece and attribute of the CMR has been translated into the HL7 dialog format. Most of it is and it seems to be a workable sub-set.

The CMR consists of the following data:

July 10, 1995
EMRS collaborative: revisions from last meeting (6/19):
CMR attributetypecomments
Problem:
*Problem Number NM
*Problem NameSTconcatenated text+++
Vocabulary NameSTsingle term| Together, the
Modifier(,/o, etc)ST| attributes
Active/inactiveST| between the
Dx coding schemeST| rows with the
Dx codeST| +++ form a
DateDTlast entered| Problem Object
CommentST+++
Medication:
*Medication NumberNM
*Medication NameST
Sig info/Dose infoST
NDC codeCE
Last updatedDT
CommentsST
Allergy/Adverse Reaction:
*Allergy/Reaction NumberNM
*Problem Object
[from Problem above]
This allows for allergy name, comments field [ie, about reaction], coding if available, etc.
Visit:
*Visit NumberNM
*Start dateDT
*End dateDT
*Problem Object from aboverepeat fld
Name/Type (clinic, ER)ST
InpatientBoolean
LocationST
SpecialtyST
ProviderST
Note:
*Note NumberNM
*DateDT
*TextST
*Problem Object from above
InpatientBoolean

Key for types: ST string, NM number, DT date, Boolean boolean


fj, 5/21/96