An XHTML Solution for a Secure EDC System for Traditional Chinese Medicine Clinics Based on ICD11 MMS Database and ESignature Objective: To develop a secure data capture system in XHTML (eXtensible Hyper Text Markup Language) format, which can collect health records in Traditional Chinese Medicine (TCM) Clinics with capability of electronic signature at client, exchange data from internet to transmit or to receive EHRs for business and research usage, and retrieve ICD11 MMS for traditional medicine (TM) that is stored with XML in SQL database server (DBS) within intranet. General Design: 1. To define two basic tables for ICD11 table (tICD11) information and electronic medical record (EMR) table (EMRT). Fields of DEV (Data Element Value) for ICD codes and DEVM (Data Element Value Meaning) for ICD code meanings or terms are the essential fields of the tICD11; In EMRT, fields are defined, involving type of XML for EHRs built with Extensible Hypertext Markup Language (XHTML) and type of text for MD5 of EHRs. Besides, type of datetime for creating or updating record is affiliated in all tables. Microsoft Windowu0027s SQL server (WINSQLS) 2008, a kind of relationtype database management system for data of SQL or nonSQL, is selected as experiment environment within intranet. 2. To design views and storage procedures querying tICD11 or submitting EHRs. To create a series of Structure Query Language (SQL) such as views and SQL storage procedures (SPs) for managing the tICD11 data transaction (TRSs); and exchanging EHRs built with Extensible Hypertext Markup Language (XHTML) with SQL plus XPath, a nonSQL language, to express clinical or patientu0027s demands, such as voice messages of patient reported outcomes (PROs) or electronic signatures (Esignature, ES). SPs may include parameters (PSPs) and end with a SQL term of FOR XMLAUTO, ROOT(xe2x80x98ROOTNAMExe2x80x99). 3. To deploy web service (WS) site with functional webinterface. According to a model with threetier architecture and relative functions, we developed an interface of WS corresponding PSPs in the Windowu0027s server 2008 (64bits), a gateway web site accessing with heading of xe2x80x9chttps:xe2x80x9d supported with the protocol of Secure Sockets Layer (SSL), and an accountadministrative server ordinarily referred as Active Directory (AD). As one of keys, a function in WS solution is to get specified values of the attributes contained in the start tag of XHTMLu0027s data elements (XDE), which are parameters for DEV or DEVM required by SPs. Result: 1. More than 17,000 records of the codes and terms from the ICD11 MMS were captured. Codes and terms in ICD11 for symptoms, signs, clinical finding, diagnostic and treatment and even those for TM such as disorder, pattern and acupuncture, other than those in the ICD10. These codes and terms can be retrieved from tICD11 to XDE involved DEV orand DEVM via SPs and be bonded to list views of optional inputs, which will be selected as standardized inputs into EHRs. 2. Voice records of clinical visits andor PROs postclinical visits, and ES for XDE on EHRs can also be captured at local device, securely submitted to the remote servers to integrate into EDC system. 3. The system that runs at the intranet allows remote requests from internet clients to query with XHTML involving keywords and returns deidentified XHTML involving DEV and DEVM to the EHRs at client sites. The dataexchangeinterface web site as the gateway (GW, URL: https:www.meacm.comicd11ws) at a server (GWS) is marked with the SSL certificate so that these exchanges are commonly referred as secure and effective between different platforms and the inside of WINSQLS. Conclusion: The system offers a secure XHTMLstructured web solution for high quality EHRs plus coding and terming input with the standard of ICD11 MMS, legally binding input via electronic signature and sensitive masking input via encryption with public key and deidentified data exchanges for research. Such a system has the advantages of being flexible for application needs but rigorous in collection of real high qualitive data for scientific research and decision; and can be conveniently deployed in a distributed system. An integration of traditional medicine data into the entire EHRs system will collect broad and comprehensive healthcare data and generate realworld evidence for the role and effectiveness of TCM in patient care.

A Mobile App Architecture for Accessing EMRs Using XDS and FHIR Enabling data exchange between electronic medical records (EMRs) and personal health apps has the potential to boost the secondary usage of health data, eventually increasing the quality of life. In this paper, the authors present a mobile app architecture that enables the integration of legacy crossenterprise document sharing (XDS) and next generation fast healthcare interoperability resources (FHIR) compatible electronic medical record (EMR) systems with personal mobile applications. The realization of this architecture is achieved by linking EMR information from multiple providers at the point of care, with a personal health app for citizens, combining the benefits and potential of both XDS and FHIR.