Representation of Patient Data in Health Information Systems and Electronic Health Records

Chapter
Part of the Health Informatics book series (HI)

Abstract

With the development of IT, more and more hospitals and health facilities are currently using electronic health records (EHR) in replacement of the paper-based patient record. The main goal of an EHR is to improve the health care process. Moreover, EHRs make easier the reuse of patient data for other purpose like research studies or management. In this chapter, we first discuss the added value of EHRs. Then we present their main categories and the different ways to represent and coding data in such systems. The place of interoperability standards is critical to integrate EHRs in Health information system. Therefore we present and discuss the two main semantic standards (HL7 and OpenEHR) used to structure and code clinical data in EHRs as well as the initiatives encouraging vendors to implement them.

Keywords

Patient record Electronic health record Data representation Semantic interoperability 

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  1. 1.Laboratoire d’Informatique Médicale, Faculté de MédecineINSERM U936RennesFrance
  2. 2.Biomedical informatics and public health departmentUniversity Hospital HEGP, AP-HPParisFrance
  3. 3.INSERM UMR_S 872 team 22 : Information Sciences to support Personalized MedicineUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de médecineParisFrance
  4. 4.CCS Domaine Patient AP-HPParisFrance

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