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The Extent of Shared Headings in Electronic Health Records in Swedish County Councils and Regions
Landstinget Dalarna.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. (Forskning om funktionshinder och habilitering, Research in Disability and Habilitation)
2018 (English)In: Journal of Medical Imaging and Health Informatics, ISSN 2156-7018, E-ISSN 2156-7026, Vol. 8, no 3, p. 532-536Article in journal (Refereed) Published
Abstract [en]

The need to exchange health-related information contained in electronic health records across county councils and regions in Sweden has become necessary due to the new Swedish Patient Act. This act allows patients to choose health care both in their own county council or region as well as in county councils or regions other than their own. Exchange of health-related information demands interoperability and especially semantic interoperability. In Sweden headings are traditionally employed for structure the data in the health records. If the headings are shared and standardised they can enable the sharing of health-related information across county councils and regions. However, each county council and region has their own terminology of headings. The aim is to study to what extent headings are shared and to what extent the shared headings are standardised across county councils and regions in Sweden. The spelling of 32,228 headings from three county councils and regions was analysed to see to what extent they were spelled exactly the same and to what extent those headings spelled exactly the same corresponded to concepts in the Swedish Common Information Structure. In total 130 headings were spelled exactly the same across three county councils and regions. More than half of the headings spelled exactly the same corresponded to concepts in the Swedish Common Information Structure. The results showed that the three county councils and regions in total shared 2% of the studied headings. Of the shared headings more than half were standardised. Professional groups have long experience of employing headings and therefore we recommend headings as a tool for implementing a National Language for Specific Purposes as Swedish National Board of Health and Welfare's standard. This will enable health-related information to be available wherever the patient is located across county councils and regions.

Place, publisher, year, edition, pages
American Scientific Publisher , 2018. Vol. 8, no 3, p. 532-536
Keywords [en]
Semantic interoprability, Terminology, Snomed CT
National Category
Other Medical Sciences not elsewhere specified
Research subject
Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-346534DOI: 10.1166/jmihi.2018.2365ISI: 000428166200017OAI: oai:DiVA.org:uu-346534DiVA, id: diva2:1191514
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2018-07-23Bibliographically approved

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Terner, Annika

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