Terminology use in electronic health records: basic principles

Watkins, TJ, Blundberg, C, Brokel, J, Wilson, M and Hardiker, NR 2009, 'Terminology use in electronic health records: basic principles' , Urologic Nursing, 29 (5) , pp. 321-327.

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Electronic health records (EHRs) are a cost-saving and environmentally friendly means for documenting patient care and improving patient safety, quality, and evidence-based practice. Standardized clinical classification systems and terminologies are essential ingredients of the EHR. Their selection must be driven by a clear understanding of requirements for their use and application. This article describes the principle uses of clinical information and motives for consistency in practice, and provides a distinction between classification systems and reference terminologies for clinical settings.

Item Type: Article
Themes: Subjects / Themes > R Medicine > RT Nursing
Health and Wellbeing
Schools: Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy
Schools > School of Health and Society
Journal or Publication Title: Urologic Nursing
Publisher: Mosby
Refereed: Yes
ISSN: 1053-816X
Related URLs:
Depositing User: Institutional Repository
Date Deposited: 19 May 2011 09:34
Last Modified: 16 Feb 2022 11:17
URI: https://usir.salford.ac.uk/id/eprint/13987

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