Skip to main content
Article
Terminology use in electronic health records: basic principles
Urologic nursing
  • T. J. Watkins
  • R. E. Haskell
  • C. B. Lundberg
  • Jane M. Brokel, University of Iowa
  • M. L. Wilson
  • N. Hardiker
Document Type
Article
Peer Reviewed
1
Publication Date
9-1-2009
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
Urologic nursing, 29:5 (2009) pp.321-6; quiz 327.
Disciplines
Citation Information
T. J. Watkins, R. E. Haskell, C. B. Lundberg, Jane M. Brokel, et al.. "Terminology use in electronic health records: basic principles" Urologic nursing Vol. 29 Iss. 5 (2009) p. 321 - 6; quiz 327 ISSN: 1053-816X
Available at: http://works.bepress.com/jane_brokel/24/