Annika Terner
Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Sweden
Helena Lindstedt
Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Sweden
Karin Sonnander
Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University, Sweden
Download articlePublished in: Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige
Linköping Electronic Conference Proceedings 70:11, p. 61-61
Published: 2012-09-28
ISBN: 978-91-7519-758-6
ISSN: 1650-3686 (print), 1650-3740 (online)
Applying multi-professional electronic health records (EHRs) is expected to improve the quality of patient care and patient safety. Both EHR systems and system users depend on semantic interoperability to function efficiently. A shared clinical terminology comprising unambiguous terms is required for semantic interoperability. Empirical studies of clinical terminology; such as pre-defined headings; in EHR systems are scarce and limited to one profession or one clinical specialty. The aim was to study pre-defined headings applied by users in a Swedish multi-professional EHR system.