Journal of Medical Systems

, Volume 35, Issue 4, pp 555–558 | Cite as

Using Health Smart Cards to Check Drug Allergy History: The Perspective from Taiwan’s Experiences

  • Min-Huei Hsu
  • Ju-Chuan Yen
  • Wen-Ta Chiu
  • Shu-Ling Tsai
  • Chien-Tsai Liu
  • Yu-Chuan LiEmail author
Original Paper


In Taiwan, national health insurance coverage began in 1994, and the Bureau of National Health Insurance has issued health smart cards since 2004. In addition to tracking medical reimbursements, these smart cards store healthcare information, including electronic prescriptions, medical procedure and vaccination records, drug allergy histories, and information about a patient’s willingness to be an organ donor. We conducted this study 4 years after the smart cards had been introduced in order to review how drug allergy history is recorded using this system. Our results reveal that the drug allergy histories are incomplete in many cases, and the format used to record a patient’s drug allergy history is not consistent. We offer suggestions to promote the standardization of drug allergy history records.


Health smart cards National health insurance Drug allergy history Hospital information system 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Min-Huei Hsu
    • 1
    • 2
  • Ju-Chuan Yen
    • 3
    • 4
  • Wen-Ta Chiu
    • 5
  • Shu-Ling Tsai
    • 6
  • Chien-Tsai Liu
    • 2
  • Yu-Chuan Li
    • 2
    Email author
  1. 1.Graduate Institute of Medical SciencesTaipei Medical UniversityTaipeiTaiwan
  2. 2.Graduate Institute of Biomedical informaticsTaipei Medical UniversityTaipeiTaiwan
  3. 3.Graduate Institute of Humanities in MedicineTaipei Medical UniversityTaipeiTaiwan
  4. 4.Department of OphthalmologyTaipei City HospitalTaipeiTaiwan
  5. 5.School of MedicineTaipei Medical UniversityTaipeiTaiwan
  6. 6.Medical Affairs DivisionBureau of National Health InsuranceTaipeiTaiwan

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