Clinical Terminology in Patient Health Record System - SNOMED CT Overview

Background of study: Patient Health Record System (PHRS) is used by physicians for capturing patient medical records in electronic media. Standardization in PHRS arises a major challenge due to its complexities. The used of clinical terminology is needed in order to facilitate more expressive clinical data input, provide unambiguous encoding and support the exchange of clinical information. One of highly specialized clinical terminology is SNOMED CT(Systematized Nomenclature of Medicine Clinical Terms) that able to encode clinical data, and contains concepts that linked to clinical knowledge to enable accurate recording of data without ambiguity. The aims of this paper is to discuss the use of clinical terminology in PHRS and identifying importance factors for applying clinical terminology in healthcare services. Method: This study used review of literature in order to find the use of clinical terminology in patient health record system by reviewing current used of clinical terminology. Result: The result of the study found that clinical terminology supports information exchange between healthcare provider

Clinical Terminology in Patient Health Record System - SNOMED CT Overview

Background of study: Patient Health Record System (PHRS) is used byphysicians for capturing patient medical records in electronic media.Standardization in PHRS arises a major challenge due to its complexities. Theused of clinical terminology is needed in order to facilitate more expressiveclinical data input, provide unambiguous encoding and support the exchange ofclinical information. One of highly specialized clinical terminology is SNOMEDCT(Systematized Nomenclature of Medicine Clinical Terms) that able to encodeclinical data, and contains concepts that linked to clinical knowledge to enableaccurate recording of data without ambiguity. The aims of this paper is to discussthe use of clinical terminology in PHRS and identifying importance factors forapplying clinical terminology in healthcare services.Method: This study used review of literature in order to find the use of clinicalterminology in patient health record system by reviewing current used of clinicalterminology.Result: The result of the study found that clinical terminology supportsinformation exchange between healthcare providers

Improving quality of electronic health records with SNOMED

The use of classifications, standards and terminology proves to be of particular importance to classify therapist techniques, clinical and nursing procedures and formulate diagnoses. This work shows a different implementation than usual, the application developed doesn’t depend of platform of medical record. The Department of pathological anatomy was chosen as a pilot service to enter the SNOMED system, to produce reports and to evaluate the benefits of its use in a real context. The successful implementation is directly related to the success of interoperability between information and the use of electronic health record systems. It is the first step to extend the system to the whole hospital and to the success of clinical research, to provide alerts and prevention systems and reduce medical errors

PubMed-supported clinical term weighting approach for improving inter-patient similarity measure in diagnosis prediction

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Association Patterns of Ontological Features Signify Electronic Health Records in Liver Cancer

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A SNOMED supported ontological vector model for subclinical disorder detection using EHR similarity

10.1016/j.engappai.2011.05.013Engineering Applications of Artificial Intelligence2481398-1409EAAI