Minutes and Results. ASTM Committee E31 and the Massachusetts Medical Society Workshop
on XML Document Type Definitions In Health Care.  October 4-5, 1999.]


---Samples (Draft only)---

See source:  http://www.astm.org/COMMIT/E31Oct99rprt.zip

==========================================================

Diagnostic Imaging

<!--Including, radiology, including: CT, MRI, ULTRASOUND, etc.
The group forming this set of tags felt we needed more knowledge from imaging experts. Consider preliminary.-->

<!ELEMENT DIAGNOSTICIMAGING  (PROCEDURE.DATE,PRIOREXAM.DATE?,PROCEDURETYPE,BODYPART,
               VIEW?,TECHNIQUE?,CONTRASTAGENTS?,MEDICATIONS?,INDICATIONS?,REASON?,
               FINDINGS,IMPRESSION,SERVICEPROVIDER*,RECOMMENDATIONS?,FILELINK*,
               SIGNATURE+) >

<!--Date of procedure-->
<!ELEMENT PROCEDURE.DATE  (#PCDATA) >

<!--Date of prior exam, may be used for comparison or progress, e.g., mammography.-->
<!ELEMENT PRIOREXAM.DATE  (#PCDATA) >

<!--e.g., MRI, CT, etc.-->
<!ELEMENT PROCEDURETYPE  (#PCDATA) >

<!ELEMENT BODYPART  (#PCDATA) >

<!--e.g., anterior, posterior, etc.-->
<!ELEMENT VIEW  (#PCDATA) >

<!--This could be a more general description of procedure, including physical position of patient, technical instruments, data, equipment, etc.-->
<!ELEMENT TECHNIQUE  (#PCDATA) >

<!--include name and dose-->
<!ELEMENT CONTRASTAGENTS  (#PCDATA) >

<!ELEMENT MEDICATIONS  (#PCDATA) >

<!--This element represents diagnostic purpose of procedure, e.g.,
rule-out, may include dx code. May be used synonymously with Reason. Definitions of Indications and reason are thought to be controversial.-->
<!ELEMENT INDICATIONS  (#PCDATA) >

<!--This element may be used to describe reason for study, e.g., patient experiencing pain, symptoms-->
<!ELEMENT REASON  (#PCDATA) >

<!--Interpretations, comments, narrative-->
<!ELEMENT FINDINGS  (#PCDATA) >

<!--summary of findings, conclusion, comments-->
<!ELEMENT IMPRESSION  (#PCDATA) >

<!--This may be a repeating element of several providers of type: 'ordering', 'primary care', 'interpreting','technologist'-->
<!ELEMENT SERVICEPROVIDER  (#PCDATA) >

<!--e.g., follow up recommendations-->
<!ELEMENT RECOMMENDATIONS  (#PCDATA) >

<!--There could be several discrete elements for supporting files, including: image, wave, etc.-->
<!ELEMENT FILELINK  (#PCDATA) >

==========================================================


Draft DTD for a Prescription

<!--Will depend on sanction or input from NCPDP-->
<!ELEMENT PRESCRIPTION  (PATIENT,PRESCRIBED.DATE,DRUG,INTERCHANGE?,REFILLS,STATUS?,
               REASON?,ALLERGIES?,PHYSICIAN,FACILITY?,GENERATEDBY?,
               PREFERREDPHARMACIES?,SIGNATURE) >

<!ELEMENT PATIENT  (NAME,ID+,GENDER,DOB,ADDRESS+,PHONE*) >

<!ELEMENT PRESCRIBED.DATE  (#PCDATA) >

<!--This normally includes form, e.g., amoxicillin liquid. Will include generic or brand name. Broken down here as anticipate NCPDP would suggest more structure.-->
<!ELEMENT DRUG  (NAME,FORM?,STRENGTH,QUANTITY,SIG) >

<!--Substitutions, allowed or not.-->
<!ELEMENT INTERCHANGE  (#PCDATA) >

<!--Quantity of refill-->
<!ELEMENT REFILLS  (#PCDATA) >

<!--e.g., new or changed-->
<!ELEMENT STATUS  (#PCDATA) >

<!--Not sure of the proper element name for this: used to indicate workman's comp related or accident related.-->
<!ELEMENT REASON  (#PCDATA) >

<!ELEMENT ALLERGIES  (#PCDATA) >

<!--perhaps should be PRESCRIBING.PHYSICIAN-->
<!ELEMENT PHYSICIAN  (NAME,ADDRESS+,PHONE+,ID+) >

<!--Not sure of this one: generated by... system, institution...???-->
<!ELEMENT GENERATEDBY  (#PCDATA) >

<!--List of preferred, recommended or favorite pharmacies?-->
<!ELEMENT PREFERREDPHARMACIES  (#PCDATA) >

<!--may include form, e.g., liquid vs. tablet and-->
<!ELEMENT NAME  (#PCDATA) >

<!--one or two id's usually necessary: SSN, policy, etc., for patient; DEA#, provider ID for physician-->
<!ELEMENT ID  (#PCDATA) >

<!ELEMENT GENDER  (#PCDATA) >

<!ELEMENT DOB  (#PCDATA) >

<!--made this optional as may be part of name-->
<!ELEMENT FORM  (#PCDATA) >

<!--#, units-->
<!ELEMENT STRENGTH  (#PCDATA) >

<!--also called dispense amount-->
<!ELEMENT QUANTITY  (#PCDATA) >

<!--Instructions for usage-->
<!ELEMENT SIG  (#PCDATA) >



===============

Draft DTD for an Operative Report

<!ELEMENT Operative.Report  (Operation.Date , Preoperative.Diagnosis?,
Post.Operative.Diagnosis? , Operation+ , 
Procedure.Details* , Anesthesia+, 
Estimated.Blood.Loss?,
Complications*, Surgeon+ , 
Anesthetiologist+, Indications*, 
Findings* >

<!ELEMENT Operation.Date (#PCDATA) >

<!ELEMENT Preoperative.Diagnosis (#PCDATA)>

<!ELEMENT Post.Operative.Diagnosis (#PCDATA)>

<!ELEMENT Operation  (Operation.Start?, Operation.End?)>

<!ELEMENT Complications (#PCDATA)>

<!ELEMENT Surgeon (#PCDATA)>

<!ELEMENT Anesthetiologist (#PCDATA)>

<!ELEMENT Anesthesia (#PCDATA)>

<!ELEMENT Indications (#PCDATA)>

<!ELEMENT Findings (#PCDATA)>

<!ELEMENT Procedure.Details (#PCDATA | Blood.Given | Medications.Given | Prep |
Details | Closure |Drains | Tissue.Removed |
Patient.Condition |
Sponge.Count | Needle.Count |Instrument.Count )* >

<!ELEMENT Estimated.Blood.Loss (#PCDATA)>

<!ELEMENT Operation.Ended (#PCDATA)>

<!ELEMENT Operation.Start (#PCDATA)>

<!ELEMENT Blood.Given (#PCDATA)>
<!ELEMENT Medications.Given (#PCDATA)>
<!ELEMENT  Prep (#PCDATA)>
<!ELEMENT  Details (#PCDATA)>
<!ELEMENT  Closure (#PCDATA)>
<!ELEMENT  Drains (#PCDATA)>
<!ELEMENT  Tissue.Removed (#PCDATA)>
<!ELEMENT  Patient.Condition (#PCDATA)>
<!ELEMENT  Sponge.Count (#PCDATA)>
<!ELEMENT   Needle.Count (#PCDATA)>
<!ELEMENT  Instrument.Count(#PCDATA)>

=====

Draft DTD for the HCFA 1500

<!ENTITY % hcfa.name "family.name, given.name, MI">

<!ENTITY % hcfa.sex " (female | male )">

<!ENTITY % hcfa.address "street.address?, city?, state.or.province?, 
						zip.or.postal.code?, phone.number">

<!ENTITY % hcfa.yesno "yes|no">

<!ENTITY % hcfa.date " (month, day, year )">

<!ELEMENT HCFA.1500  (insurance.type , insured.ID , patient.name , 
					  patient.date.of.birth , patient.sex , insured.name , 
					  patient.address , patient.relationship.to.insured , 
					  insured.address , patient.status , other.insured.name , 
					  patient.condition.related.to , insured.policyGroup.FECANumber , 
					  patient.signature , insured.signature , date.current , 
					  date.SameSimliar.Illness , date.unable.to.work , practitioner.id , 
					  related.hospitalization , local.markup , outside.lab , diagnosis , 
					  medicaid.resubmission.number , prior.authorization.number , claim.list , 
					  federal.tax.id.number , patient.account.number , accept.assignment , 
					  total.charge , amount.paid , balance.due , practitioner.signature , 
					  facility , practitioner.billing.info )>

<!ELEMENT insurance.type EMPTY>
<!ATTLIST insurance.type  number.type  (medicare | medicaid | 
                                        champus |  champva | 
                                        group | feca | 
                                        other )  #REQUIRED >
<!ELEMENT insured.ID  (#PCDATA )>

<!ELEMENT patient.name  (%hcfa.name; )>
<!ATTLIST patient.name  condition.relation CDATA  #IMPLIED >
<!ELEMENT patient.date.of.birth  (month , day , year )>

<!ELEMENT patient.sex  (%hcfa.sex; )>

<!ELEMENT insured.name  (%hcfa.name; )>

<!ELEMENT patient.address  (%hcfa.address; )>

<!ELEMENT patient.relationship.to.insured EMPTY>
<!ATTLIST patient.relationship.to.insured  relationship.type  (self | 
                                                               spouse | 
                                                               child | 
                                                               other )  #REQUIRED >
<!ELEMENT insured.address  (%hcfa.address; )>

<!ELEMENT patient.status (#PCDATA )>
<!ATTLIST patient.status  patient.maritalStatus.type     (single | married | other )  #REQUIRED
                          patient.employmentStatus.type  (employed | 
                                                          FullTimeStudent | 
                                                          partTimeStudent )  #REQUIRED >
<!ELEMENT other.insured.name  (#PCDATA | %hcfa.name; )*>

<!ELEMENT patient.condition.related.to  (related.to.employment , related.to.autoAccident , related.to.otherAccident )>

<!ELEMENT insured.policyGroup.FECANumber  (#PCDATA )>

<!ELEMENT patient.signature (#PCDATA )>

<!ELEMENT insured.signature (#PCDATA )>

<!ELEMENT date.current  (illness , injury , pregnancy )>

<!ELEMENT date.SameSimliar.Illness  (%hcfa.date; )*>

<!ELEMENT date.unable.to.work  (from , to )>

<!ELEMENT practitioner.id  (#PCDATA )>

<!ELEMENT related.hospitalization  (from , to )>

<!ELEMENT local.markup  (#PCDATA )>

<!ELEMENT outside.lab  (charges )>

<!ELEMENT diagnosis  (#PCDATA )>

<!ELEMENT medicaid.resubmission.number  (medicaid.code , original.ref.number )>

<!ELEMENT prior.authorization.number  (#PCDATA )>

<!ELEMENT claim.list  (service.dates , service.place , service.type , procedures , 
						diagnosis.code , charges , days.or.units , epsdt , emg , 
						cob , local.markup )>

<!ELEMENT federal.tax.id.number  (#PCDATA )>
<!ATTLIST federal.tax.id.number  tax.id.type  (ssn | ein )  #REQUIRED >
<!ELEMENT patient.account.number  (#PCDATA )>

<!ELEMENT accept.assignment  (#PCDATA )>

<!ELEMENT total.charge  (#PCDATA )>

<!ELEMENT amount.paid  (#PCDATA )>

<!ELEMENT balance.due  (#PCDATA )>

<!ELEMENT practitioner.signature  (#PCDATA )>

<!ELEMENT facility  (organization.name , %hcfa.address; )>

<!ELEMENT practitioner.billing.info  (%hcfa.address; )*>

<!ELEMENT family.name  (#PCDATA )>

<!ELEMENT given.name  (#PCDATA )>

<!ELEMENT MI  (#PCDATA )>

<!ELEMENT street.address  (#PCDATA )>

<!ELEMENT city  (#PCDATA )>

<!ELEMENT state.or.province  (#PCDATA )>

<!ELEMENT zip.or.postal.code  (#PCDATA )>

<!ELEMENT phone.number  (#PCDATA )>

<!ELEMENT month  (#PCDATA )>

<!ELEMENT day  (#PCDATA )>

<!ELEMENT year  (#PCDATA )>

<!ELEMENT female EMPTY>

<!ELEMENT male EMPTY>

<!ELEMENT related.to.employment EMPTY>

<!ELEMENT related.to.autoAccident  (place )>

<!ELEMENT related.to.otherAccident EMPTY>

<!ELEMENT organization.name  (#PCDATA )>

<!ELEMENT service.dates  (from , to )>

<!ELEMENT service.place  (#PCDATA )>

<!ELEMENT service.type  (#PCDATA )>

<!ELEMENT procedures  (cpt.hcpcs , modifier )>

<!ELEMENT diagnosis.code  (#PCDATA )>

<!ELEMENT charges  (#PCDATA )>

<!ELEMENT days.or.units  (#PCDATA )>

<!ELEMENT epsdt  (#PCDATA )>

<!ELEMENT cob  (#PCDATA )>

<!ELEMENT from  (%hcfa.date; )>

<!ELEMENT to  (%hcfa.date; )*>

<!ELEMENT emg  (#PCDATA )>

<!ELEMENT cpt.hcpcs  (#PCDATA )>

<!ELEMENT modifier  (#PCDATA )>

<!ELEMENT medicaid.code  (#PCDATA )>

<!ELEMENT original.ref.number  (#PCDATA )>

<!ELEMENT illness  (%hcfa.date; )>

<!ELEMENT injury  (%hcfa.date; )>

<!ELEMENT pregnancy  (%hcfa.date; )>

<!ELEMENT place (#PCDATA )>

===========