Description
Standardized Vocabulary Case
Study Clinical information systems including the electronic health record are sometimes characterized by describing their inputs and outputs. To ensure interoperability the use of a controlled vocabulary is necessary so that the data entered into the electronic medical record can be transmitted between health information systems. Read the case study in Chapter 2 on pages 35-36 of your Health Informatics: A Systems Perspective text and address the following::
Identify the problem that needs to be addressed
Recommend a solution to the problem. Why do you feel your proposed solution is correct?
Identify and describe the national or international standards would you use as part of your solution
Explain the importance of interoperability to Carol’s perspective
Must be one to two double-spaced pages in length, excluding title and reference pages, and formatted according to APA style as outlined in the Ashford Writing Center.
Must include a title page with the following:
Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted
Utilize a minimum of two scholarly sources, excluding the textbook.
Must begin with an introductory paragraph and end with a conclusion
HERE IS THE CASE STUDY BELOW
CHAPTER 2 PAGES 35 AND 36
A Problem of Display Codes
Timothy B. Patrick
During the course of EMR implementation project at a large medical center, the issue of how best to design display screens for the system arises. The particular concern is what standard codes should be used for the information on the user screens. The following e-mail is a request for a consultation from an IT staff involved in the EMR project to a member of the health informatics group:
Carol,
I need your help with something, and it’s a pretty big something. I wonder if you or anyone on your staff would be interested in taking this on as a project?
I’m working on the new EMR project. One of the things we’re stuck on right now is standard displays of information in the EMR. Because the record is integrated (which is the good news and the bad news), most of the tables and code sets are shared among multiple disciplines. We need to define what we will use for our displays. For example, the code set we’re working on right now is Units of Measure. Now, you wouldn’t think it would be too hard to decide what the display for something like “milligrams” would be. Except the choices are MG, Mg, mg, etc……. And that’s one of the easy ones.
According to the medical center’s standard abbreviations, all of the above are perfectly acceptable. The problem is, to build the EMR, we have to decide on just one. So far, since we began implementing the EMR, we’ve included a mishmash of displays, depending on what department we were working with. Lo and behold, now we’re in a real pickle, and our database is a mess. In the truly integrated EMR, there can only by one abbreviation displayed for milligrams.
Again, this is just one example out of literally hundreds (if not thousands) of pieces of information we need to standardize.
Do you have some time to help us figure out what standards are out there? We’d like to standardize on something that is nationally, if not internationally, accepted. It needs to include content for standards, definitions, and especially abbreviations for pharmacy, medicine, nursing, and purchasing units. We’d like to have some standards to present to the EMR Steering Committee and the Medical Records Committee for consideration.
Do you have any suggestions? I’d be happy to meet with you and discuss further if you’d like. Thanks.
Michael
Explanation & Answer
please find the attached file. i look forward to working with you
Running head: STANDARDIZED VOCABULARY
Standardized Vocabulary
Student’s Name
Course
Instructor’s Name
Date of Submission
1
STANDARDIZED VOCABULARY
2
Introduction
Electronic Medical Record system (EMR) is the new technology that has been recently
introduced to be used in healthcare. Although the technology is very effective in management of
healthcare records, it has also some disadvantages when it comes to implementation and using
the system. The problems that are experienced during the implementation of EMR in large
medical care is the issue of designing the best screen for displaying codes.
Identification of the Problem
As illustrated in the case study, the main problem that is identified is a problem in
designin...