Article | Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige | Global applicability of a local physical examination template

Title:
Global applicability of a local physical examination template
Author:
Kirstine Rosenbeck Gøeg: Department of Health Science and Technology, Aalborg University, Denmark Pia Britt Elberg: Department of Health Science and Technology, Aalborg University, Denmark
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Full text (pdf)
Year:
2012
Conference:
Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige
Issue:
070
Article no.:
001
Pages:
1-7
No. of pages:
7
Publication type:
Abstract and Fulltext
Published:
2012-09-28
ISBN:
978-91-7519-758-6
Series:
Linköping Electronic Conference Proceedings
ISSN (print):
1650-3686
ISSN (online):
1650-3740
Publisher:
Linköping University Electronic Press; Linköpings universitet


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Achieving semantic interoperability is a challenge due to the complexity and variability of health care and clinical information systems. Applying locally developed templates in other organisations and in standardisation work requires that the local templates have a global applicability. Therefore; the aim of this paper is to examine the global applicability of a physical examination template from Odense University Hospital. This was done by comparing the content of the template with an international text book description of a physical examination as well as 42 clinical findings derived from randomly chosen international clinical notes from physical examinations. To quantify differences and similarities between clinical notes and the template; SNOMED CT was used for analysis. The study showed that approximately ¬ĺ of the 42 clinical findings could be represented in the Odense Template. This suggests that local templates; at least for well defined clinical processes; have a global applicability.

Keywords: Computerized medical records; SNOMED CT

Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige

Author:
Kirstine Rosenbeck Gøeg, Pia Britt Elberg
Title:
Global applicability of a local physical examination template
References:

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[8] Campbell EW; Lynn CK. Chapter 4 The Physical Examination. In: Walker H; Hall W; Hurst J; editors. Clinical Methods: The History; Physical; and Laboratory Examinations. 3rd ed. Butterworths; Avalilable from http://www.ncbi.nlm.nih.gov/books/NBK361/: Boston; 1990.


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Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige

Author:
Kirstine Rosenbeck Gøeg, Pia Britt Elberg
Title:
Global applicability of a local physical examination template
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