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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.

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