Title

Terminology use in electronic health records: basic principles

Document Type

Article

Peer Reviewed

1

Publication Date

9-1-2009

Journal, Book or Conference Title

Urologic nursing

NLM Title Abbreviation

Urol Nurs

PubMed ID

19863039

Abstract

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.

Keywords

Electronic Health Records, Nursing Records/standards, Terminology as Topic

Published Article/Book Citation

The definitive version was published in Urologic nursing, 29:5 (2009) pp.321-6; quiz 327.

This document is currently not available here.

Share

COinS
 

URL

http://ir.uiowa.edu/nursing_pubs/649