title: Issues in designing a controlled vocabulary and a patient data representation model for a hospital-wide EPR system.
abstract: 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.
authors.affiliation: Medical Informatics Division, University Hospital of Geneva, 1211 Geneva 14, Switzerland.
authors.forename: C
authors.initials: C
authors.lastname: Breant
authors.forename: F
authors.initials: F
authors.lastname: Borst
mesh_terms: 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