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At least 325 records · Page 18Linked to original sources
PubMed2004

Integration challenges of clinical information systems developed without a shared data dictionary.

Legacy systems have proven to be long-term integration challenges for Intermountain Health Care (IHC) despite commitment and attention to share clinical information across settings and among clinicians. This study measures the extent of the disparity of data elements across three independent data systems in current use. A sample of relevant data elements was selected across systems covering prenatal, labor and delivery, and newborn intensive care units (NICU). The findings revealed only 17% of these sample data elements had compatible structure across all three systems. The implications from differences in granularity, missing data, and duplicate data entry, include diminished data quality, greater risk for medical error, increased costs of integration and inefficient use of clinician time. Retrospective guidelines for managing conceptual context and granularity are given to assist in designing an integrated longitudinal patient electronic medical record.

Delivery of Health Care, Integrated↗
PubMed1980

[Cancer of the cervix. Dictionary of complications].

This glossary of the complications of carcinoma of the cervix was evaluated by the review of more than 1 000 medical records at the Gustave-Roussy Institute. It is the fruit of the practical experience over several years of a team combining of the disciplines of radiotherapy, surgery, gynaecology and computer techniques. It has no pretense at universality. It greatly simplifies, and always in terms of practice and not theory. It was established for the purpose of computerised recording and hence statistical study. It is inadequate for detailed studies in depth of individual complications.

Bone Diseases↗