Issues in designing a controlled vocabulary and a patient data representation model for a hospital-wide EPR system.
Careful attention must be paid when designing the following components of a hospital-wide electronic patient record (EPR) system: the common medical controlled terminology, the semantic data model for a standardized representation of patient data and the normalized database. Requirements are detailed. Problems encountered when coordinating the development of a medical terminology with the modeling of patient medical data are analyzed. Solutions implemented in the hospital-wide DOCLIN EPR system at the University Hospital of Geneva (HUG) are presented.
Breant
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Medical Informatics Division, University Hospital of Geneva, 1211 Geneva 14, Switzerland.
Borst
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D003195:Computer Communication Networks; D006751:Hospital Information Systems; D006785:Hospitals, University; D006801:Humans; D016347:Medical Records Systems, Computerized; D013557:Switzerland; D009626:Terminology as Topic; D018875:Vocabulary, Controlled