Access the full text.
Sign up today, get DeepDyve free for 14 days.
(2008)
Medicinsk Terminologi (Medical Terminology)
J. Ozbolt, V. Saba (2008)
A brief history of nursing informatics in the United States of America.Nursing outlook, 56 5
P. Knaup, O. Bott, C. Kohl, C. Lovis, S. Garde (2007)
Section 2: Patient Records: Electronic Patient Records: Moving from Islands and Bridges towards Electronic Health Records for Continuity of CareYearbook of Medical Informatics, 16
J. Ozbolt, Marisa Wilson, D. O'brien (2007)
Much ado about terminology standards.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 22 4
(2010)
Ordning Och Reda Terminologilära I Teori Och Praktik (Orderliness Terminology in Theory and Practice)
(2006)
Interface terminologies : facilitating direct entry of clinical data into electronic health record systems
J. Denny, A. Spickard, Kevin Johnson, N. Peterson, J. Peterson, R. Miller (2009)
Research Paper: Evaluation of a Method to Identify and Categorize Section Headers in Clinical DocumentsJournal of the American Medical Informatics Association : JAMIA, 16 6
(1999)
Towards a multi-professional patient recordea study of the use of headings
Jan Hadlow, M. Pitts (1991)
The understanding of common health terms by doctors, nurses and patients.Social science & medicine, 32 2
J. Zeleznik, Bernadette Agard-Henriques, Bradley Schnebel, D. Smith (2003)
Terminology Used by Different Health Care Providers to Document Skin Ulcers: the Blind Men and the ElephantJournal of Wound, Ostomy and Continence Nursing, 30
E. Hovenga (2008)
Importance of achieving semantic interoperability for national health information systemsTexto & Contexto Enfermagem, 17
C. Mead (2006)
Data interchange standards in healthcare IT--computable semantic interoperability: now possible but still difficult, do we really need a better mousetrap?Journal of healthcare information management : JHIM, 20 1
(2009)
Semantic interoperability for better health and Safer healthcare. Research and Deployment Roadmap for Europe
Tera Watkins, R. Haskell, C. Lundberg, Jane Brokel, Marisa Wilson, N. Hardiker (2009)
Terminology use in electronic health records: basic principles.Urologic nursing, 29 5
J. Cimino (2000)
Review: From Data to Knowledge through Concept-oriented Terminologies: Experience with the Medical Entities DictionaryJournal of the American Medical Informatics Association : JAMIA, 7 3
A. Breen, M. Carrington, R. Collier, S. Vogel (2000)
Communication between general and manipulative practitioners: a survey.Complementary therapies in medicine, 8 1
(2009)
Semantisk Interoperabilitet (Semantic Interoperability)
A. Casey (1995)
Standard terminology for nursing: results of the nursing, midwifery and health visiting terms projectHealth Informatics Journal, 1
D. Wiljer, S. Urowitz, E. Apatu, K. Leonard, N. Quartey, P. Catton (2010)
Understanding the support needs of patients accessing test results online. PHRs offer great promise, but support issues must be addressed to ensure appropriate access.Journal of healthcare information management : JHIM, 24 1
Ulla Marttala (1998)
Medicinska fackord i läkare-patientsamtal : analysmodell, klassificering, frekvenser
Debra Andreen, Linda Dobie, Jan Jasperson, Thomas Lucas, Cathryn Wubbenhorst (2010)
The conversion to electronic hospital notes at Mayo Clinic. Overcoming barriers and challenges.Journal of healthcare information management : JHIM, 24 3
W. Hammond (2008)
eHealth interoperability.Studies in health technology and informatics, 134
J. Ferranti, R. Musser, K. Kawamoto, W. Hammond (2006)
Viewpoint Paper: The Clinical Document Architecture and the Continuity of Care Record: A Critical AnalysisJournal of the American Medical Informatics Association : JAMIA, 13 3
(1997)
The barriers to electronic medical record systems and how to overcome them
A. Maxwell, N. Ridley, G. Rubin, M. Wallis, F. Gilbert, M. Michell (2009)
The Royal College of Radiologists Breast Group breast imaging classification.Clinical radiology, 64 6
(2006)
Fackspråk Och Allmänspråk (Language for Specific Purposes and Common Language)
(2006)
Achieve semantic interoperability in a SOA. Patterns and best practices. developersWork: IBM
E. Törnvall, S. Wilhelmsson (2008)
Nursing documentation for communicating and evaluating care.Journal of clinical nursing, 17 16
Patientdatalag SFS 2008 : 355 ( Patient Data Act )
W. Stead (2007)
Rethinking electronic health records to better achieve quality and safety goals.Annual review of medicine, 58
A. Ehrenberg, M. Ehnfors, I. Thorell-Ekstrand (1996)
Nursing documentation in patient records: experience of the use of the VIPS model.Journal of advanced nursing, 24 4
Inga-Marie Nilsson, Peter Nilsson (2003)
Medicinsk dokumentation genom tidernaLäkartidningen, 100
(2009)
Research and Deployment Roadmap for Europe. Semantic Health Report
Ashley Edwards, I. Hollin, Jeffrey Barry, S. Kachnowski (2010)
Barriers to cross--institutional health information exchange: a literature review.Journal of healthcare information management : JHIM, 24 3
AbstractBackground Applying multiprofessional electronic health records (EHRs) is expected to improve the quality of patient care and patient safety. Both EHR systems and system users depend on semantic interoperability to function efficiently. A shared clinical terminology comprising unambiguous terms is required for semantic interoperability. Empirical studies of clinical terminology, such as predefined headings, in EHR systems are scarce and limited to one profession or one clinical specialty.Objective To study predefined headings applied by users in a Swedish multiprofessional EHR system.Materials and methods This was a descriptive study of predefined headings (n=3596) applied by 5509 users in a Swedish multiprofessional EHR system. The predefined headings were classified into four term and word categories.Results Less than half of the predefined headings were shared by two or more professional groups. All eight professionals groups shared 1.7% of the predefined headings. The distribution of predefined headings across categories yielded two-thirds “terms for special purposes” and “specialist terms” and one-third “common words” and “unclassified headings”.Discussion The indicated presence of profession-specific predefined headings and the conflict between ambiguity and comprehension of terms and words used as headings are discussed.Conclusions The predefined headings in the multiprofessional EHR system studied did not constitute a joint language for specific purposes. The improvement of the quality and usability of multiprofessional EHR systems requires attention.
Journal of the American Medical Informatics Association – Oxford University Press
Published: Nov 1, 2012
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.