Intérêt et utilité de la normalisation de concepts par UMLS dans la construction d’un dossier patient informatisé

Swiss Medical Informatics 2011; no 72 have reached the following figures: 2100 different fields are used, with 1020 in more than one assessment form, showing a positive effect of the method. 639 concepts are related to those fields. Discussion: The method used to identify concepts during the clinical documentation phase has been shown to be educational and formatting on many levels of the project. First, it was a guide to choosing and clarifying the correct wording in the paper-based documentation. Secondly, each form design must go through harmonisation and concept identification. This constitutes a major workload for the team. Thirdly, the design of new forms will reuse the dictionary of concepts and fields, opening up a clearer vision on the potential links between the different forms. Finally, the process improves management and provides a common language between all contributors to the clinical documentation work. It could also result in a basis for exchange of structured information (semantic interoperability) with other hospitals outside FHV, in connection with the Swiss eHealth project.