CLINITERM

How does a private health organisation use Cliniterm as an updated terminology server for the electronic health record?

THE CHALLENGE

One of our clients, a private health organisation that has 4,000,000 patients, a team of 15,000 doctors/consultants, and which updates around 6,000 of its health records every day, was implementing its new electronic health record (EHR). The aim was for consultant users to perform basic coding of the EHR elements (allergies, habits, diagnoses, procedures, medication…). The client detected that their catalogues were not updated or did not fully cover consultant users’ requirements. For example: There were no appropriate synonyms for coding in ICD-9, the catalogue of allergies was not exhaustive etc. They did not have the budget or time to spend on this task and they realised that the situation would be similar in a few years’ time. They were also worried about the transition to ICD-10 planned for next year.

THE SOLUTION

ITServer, with its catalogue management module, provides a fast, robust and long-lasting solution that can be integrated with the HER system in just a few hours. It is fully prepared for a transparent transition to ICD-10 and enables organisations to focus their business without having to engage major resources in standardisation tasks.

THE RESULT

Implementation of a standardised health record in less time and at a much lower cost than a customised development/parametrisation. System users find the most appropriate terms and codes for a variety of patient situations. Maximum system usability without foregoing data standardisation. The organisation recouped its investment and has data coded and standardised by the consultant at all times. The clinical documentation department handles catalogues directly without the need to ask the technical departments to load and update data.