Standardization and Management of Interface Terminology regarding Chief Complaints, Diagnoses and Procedures for Electronic Medical Records: Experiences of a Four-hospital Consortium
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Kang, Jae-Eun
(Department of Medical Information, Seoul National University Bundang Hospital)
Kim, Kidong (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) Lee, Young-Ae (Department of Medical Information, Seoul National University Bundang Hospital) Yoo, Sooyoung (Office of eHealth and Business, Seoul National University Bundang Hospital) Lee, Ho Young (Office of Digital Medicine, Seoul National University Bundang Hospital) Hong, Kyung Lan (Department of Medical Record, Seoul National University Hospital) Hwang, Woo Yeon (Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital) |
1 | ET. Wong, TA. Pryor, SM. Huff, PJ. Haug, HR. Warner. "Interfacing a stand-alone diagnostic expert system with a hospital information system" Comput Biomed Res Vol. 27, Issue 2, pp.116-129, Apr. 1994. DOI: http://doi.org/10.1006/cbmr.1994.1012 DOI |
2 | A. Awaysheh, J. Wilcke, F. Elvinger, L. Rees, W. Fan, K. Zimmerman. "A review of medical terminology standards and structured reporting" J Vet Diagn Invest Vol.30, Issue.1, pp.17-25, Jan. 2018. DOI: http://dx.doi.org/10.1177/1040638717738276 DOI |
3 | CG. Chute. "Clinical classification and terminology: some history and current observations" J Am Med Inform Assoc Vol. 7, Issue 3, pp.298-303, May-Jun, 2000. DOI: http://doi.org/10.1136/jamia.2000.0070298 DOI |
4 | ST. Rosenbloom, RA. Miller, KB. Johnson, PL. Elkin, SH. Brown. "Interface terminologies: facilitating direct entry of clinical data into electronic health record systems" J Am Med Inform Assoc Vol.13, Issue.3, pp.277-288, May. 2006. DOI: http://dx.doi.org/10.1197/jamia.M1957 DOI |
5 | AL. Osornio, D. Luna, ML. Gambarte, A. Gomez, G. Reynoso, FG. de Quiros. "Creation of a local interface terminology to SNOMED CT" Stud Health Technol Inform Vol.129, No.1, pp.765-9, 2007. DOI: https://doi.org/10.3233/978-1-58603-774-1-765 |
6 | E. Rose, S. Rube, AS. Kanter, M. Cardwell, F. Naeymi-Rad. "Integration of Postcoordination Content into a Clinical Interface Terminology to Support Administrative Coding" Appl Clin Inform Vol.10, No.1, pp.51-9, 2019. DOI: https://doi.org/10.1055/s-0038-1676972 DOI |
7 | A. Rath, B. Bellet, J. Christ, Orphanet, ICD-10 coding rules for rare diseases procedural document. [Internet]. Orphanet procedural document, Reports collection, [cited 2014 September], Available From: https://www.orpha.net/orphacom/cahiers/docs/GB/Orphanet_ICD10_coding_rules.pdf (accessed Nov, 2020) |
8 | RH. Dolin, JE. Mattison, S. Cohn, KE. Campbell, AM. Wiesenthal, B. Hochhalter, et al. "Kaiser Permanente's convergent medical terminology" Stud Health Technol Inform Vol.107, No.1, pp.346-350, 2004. DOI: https://doi.org/10.3233/978-1-60750-949-3-346 DOI |
9 | G. Wade, ST. Rosenbloom. "The impact of SNOMED CT revisions on a mapped interface terminology: Terminology development and implementation issues" J Biomed Inform Vol.42, No.3, pp490-3, 2009. DOI: https://doi.org/10.1016/j.jbi.2009.03.004 DOI |
10 | G. Wade, ST. Rosenbloom. "Experiences mapping a legacy interface terminology to SNOMED CT" BMC Med Inform Decis Mak Vol.Suppl 1, No.Suppl1, S3, 2008. DOI: https://doi.org/10.1186/1472-6947-8-S1-S3 DOI |
11 | CG. Chute. "Clinical Classification and Terminology: Some History and Current Observations" J Am Med Inform Assoc Vol. 7, Issue 3, pp298-303, May 2000. DOI: https://doi.org/10.1136/jamia.2000.0070298 DOI |
12 | JJ. Cimino. "Terminology tools: state of the art and practical lessons" Methods Inf Med Vol. 40, Issue 4, pp.298-306, 2001. DOI: http://dx.doi.org/10.1055/s-0038-1634425 DOI |
13 | F. Bakhshi-Raiez, L. Ahmadian, R. Cornet, E de Jonge, NF. de Keizer. "Construction of an interface terminology on SNOMED CT. Generic approach and its application in intensive care" Methods Inf Med Vol.49, No.4, pp349-59, 2010. DOI: https://doi.org/10.3414/ME09-01-0057 DOI |
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