Hospitalization Discharge Summary: Standardization of Information Model.
Brazil has a long tradition in the use of health information systems, however--until now--there is no consensus on the minimum data set from which to compose discharge summaries. This article describes the methodology used by a group of experts--members of WG1 of ISOTC 215 Health Informatics Brazilian mirror committee--to define the information model of the discharge summary. This paper describes the current status of the standardization process and the first pilot tests with this infomation content.
Graduate Studies in Technology in Health, Pontifical Catholic Univeristy of Paraná (PUCPR), Curitiba, Brazil.
Andréia Cristina
AC
de Souza
Graduate Studies in Technology in Health, Pontifical Catholic Univeristy of Paraná (PUCPR), Curitiba, Brazil.
Claudia
C
Moro
Faculty of Medicine, Federal University Minas Gerais (UFMG), Belo Horizonte, Brazil.
Zilma S N
ZS
Reis
D001938:Brazil; D003266:Continuity of Patient Care; D006751:Hospital Information Systems / Q000592:standards; D006801:Humans; D063886:Patient Discharge Summaries / Q000592:standards*