Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

This paper introduces a prototype for clinical research documentation using the structured information model HL7 CDA and clinical terminology (SNOMED CT). The proposed solution was integrated with the current electronic health record system (EHR-S) and aimed to implement interoperability and structu...

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Bibliographic Details
Main Authors: Bruno Direito, André Santos, Susana Mouga, João Lima, Paulo Brás, Guiomar Oliveira, Miguel Castelo-Branco
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Healthcare
Subjects:
healthcare documentation
electronic medical records
medical research
autism spectrum disorder
longitudinal medical records
data harmonization
Online Access:https://www.mdpi.com/2227-9032/11/7/973

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https://www.mdpi.com/2227-9032/11/7/973

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