<?xml version="1.0" ?>

<!DOCTYPE MERIT9 [

<!ELEMENT MERIT9 (PATIENT-REFERRAL?) >

<!ELEMENT PATIENT-REFERRAL (HEADER,PATIENT,DISEASE+,REFERRAL-PURPOSE,PAST-HISTORY?,

FAMILY-HISTORY?,PRESENT-ILLNESS,PRESENT-EXAMINATION-RESULT?,

TREATMENT?,PRESENT-MEDICATION,EXAMINATION-ORDER-DETAIL?,NOTE?) >

<!ELEMENT HEADER (TITLE,PURPOSE-CODE,TRANSMISSION-FROM,TRANSMISSION-TO,DATE-ISSUED) >

<!ELEMENT PATIENT (ID?,PERSON-NAME+,ADDRESS,PHONE*,SEX,BIRTH-DATE,AGE,OCCUPATION) >

<!ELEMENT DISEASE (DISEASE-IN-STRING,DISEASE-IN-CODE?,DISEASE-CODE-SYSTEM?) >

<!ELEMENT REFERRAL-PURPOSE (#PCDATA) >

<!ELEMENT PAST-HISTORY (#PCDATA) >

<!ELEMENT FAMILY-HISTORY (#PCDATA) >

<!ELEMENT PRESENT-ILLNESS (#PCDATA) >

<!ELEMENT PRESENT-EXAMINATION-RESULT (MREF*,FREE-TEXT?) >

<!ATTLIST PRESENT-EXAMINATION-RESULT

TYPE (RADIOLOGY | ENDOSCOPY | ECHOSCOPY | PATHOLOGY | ECG | EEG |

EMG | HEART-SOUND | RESPIRATORY-SOUND | LABORATORY | OTHER-IMAGE)

#IMPLIED

ENTITY (ORIGINAL | REPORT | NOS) #IMPLIED >

<!ELEMENT TREATMENT (#PCDATA) >

<!ELEMENT PRESENT-MEDICATION (MREF*,FREE-TEXT?) >

<!ELEMENT EXAMINATION-ORDER-DETAIL (MREF*,FREE-TEXT?) >

<!ELEMENT NOTE (#PCDATA) >

<!ELEMENT TITLE (#PCDATA) >

<!ELEMENT PURPOSE-CODE (#PCDATA) >

<!ELEMENT TRANSMISSION-FROM (ORGANIZATION-NAME,ADDRESS,PHONE+,E-MAIL-ADDRESS?,

DEPARTMENT-NAME?,NOTE?,PERSON-NAME+,PERSON-SIGNATURE) >

<!ELEMENT TRANSMISSION-TO (ORGANIZATION-NAME,ADDRESS,PHONE*,DEPARTMENT-NAME?,NOTE?,

PERSON-NAME*,ANONYMOUS-PERSON-NAME?) >

<!ELEMENT DATE-ISSUED (#PCDATA) >

<!ELEMENT ID (ID-NUMBER,ASSIGNING-AUTHORITY?) >

<!ELEMENT PERSON-NAME (PREFIX?,FAMILY-NAME,GIVEN-NAME,MIDDLE-NAME?,TYPE-CODE,

REPRESENTATION-CODE) >

<!ELEMENT ADDRESS (ZIP-CODE?,PREFECTURE?,CITY,OTHER-DESCRIPTOR) >

<!ELEMENT PHONE (PHONE-NUMBER,EXTENSION-NUMBER?,PHONE-TYPE?,CATEGORY-CODE?,NOTE?) >

<!ELEMENT SEX (#PCDATA) >

<!ELEMENT BIRTH-DATE (#PCDATA) >

<!ELEMENT AGE (#PCDATA) >

<!ELEMENT OCCUPATION (#PCDATA) >

<!ELEMENT DISEASE-IN-STRING (#PCDATA) >

<!ELEMENT DISEASE-IN-CODE (#PCDATA) >

<!ELEMENT DISEASE-CODE-SYSTEM (#PCDATA) >

<!ELEMENT MREF EMPTY >

<!ATTLIST MREF

REF CDATA #REQUIRED

CONTENT-TYPE CDATA #REQUIRED

EXAM-DATE CDATA #IMPLIED

EXAM-TIME CDATA #IMPLIED

UID CDATA #IMPLIED

MODALITY (CT | NM | RM | DS | US | DR | CR | ET | ES | XF | OT)

#IMPLIED

INSTITUTE CDATA #IMPLIED

NAME CDATA #IMPLIED

PATIENT-ID CDATA #IMPLIED

AGE CDATA #IMPLIED

SEX (M | F | U | O) #IMPLIED

LOCATION CDATA #IMPLIED

CONTRAST-MEDIA CDATA #IMPLIED

RADIOISOTOPE CDATA #IMPLIED

STUDY-NUMBER CDATA #IMPLIED

SERIES-NUMBER CDATA #IMPLIED

ACQUISITION-NUMBER CDATA #IMPLIED

IMAGE-NUMBER CDATA #IMPLIED

ORIGINAL NMTOKEN #IMPLIED

STATION-NAME CDATA #IMPLIED

MANUFACTURER CDATA #IMPLIED

MODEL-NAME NMTOKEN #IMPLIED

SOFTWARE-VERSION CDATA #IMPLIED

EXTERNAL CDATA #IMPLIED

FRAME CDATA #IMPLIED

ROW CDATA #IMPLIED

COLUMN CDATA #IMPLIED

PIXEL-REP (UNSIGNED | SIGNED) #IMPLIED

BITS-ALLOCATED (1 | 8 | 16) #IMPLIED

BYTES-ENDIAN (BIG | LITTLE) #IMPLIED

PHOTOMETRIC-INTERPRETATION (MONOCHROME1 | MONOCHROME2 | RGB | HSV |

ARGB | CMYK) #IMPLIED

PLANAR-CONFIGURATION (PIXEL | PLANE) #IMPLIED

PADDING CDATA #IMPLIED

REF-HEADER CDATA #IMPLIED

COMMENT CDATA #IMPLIED >

<!ELEMENT FREE-TEXT (#PCDATA) >

<!ELEMENT ORGANIZATION-NAME (#PCDATA) >

<!ELEMENT E-MAIL-ADDRESS (#PCDATA) >

<!ELEMENT DEPARTMENT-NAME (#PCDATA) >

<!ELEMENT PERSON-SIGNATURE ANY >

<!ELEMENT ANONYMOUS-PERSON-NAME (#PCDATA) >

<!ELEMENT ID-NUMBER (#PCDATA) >

<!ELEMENT ASSIGNING-AUTHORITY (#PCDATA) >

<!ELEMENT PREFIX (#PCDATA) >

<!ELEMENT FAMILY-NAME (#PCDATA) >

<!ELEMENT GIVEN-NAME (#PCDATA) >

<!ELEMENT MIDDLE-NAME (#PCDATA) >

<!ELEMENT TYPE-CODE (#PCDATA) >

<!ELEMENT REPRESENTATION-CODE (#PCDATA) >

<!ELEMENT ZIP-CODE (#PCDATA) >

<!ELEMENT PREFECTURE (#PCDATA) >

<!ELEMENT CITY (#PCDATA) >

<!ELEMENT OTHER-DESCRIPTOR (#PCDATA) >

<!ELEMENT PHONE-NUMBER (#PCDATA) >

<!ELEMENT EXTENSION-NUMBER (#PCDATA) >

<!ELEMENT PHONE-TYPE (#PCDATA) >

<!ELEMENT CATEGORY-CODE (#PCDATA) >

]>