Related Experiment Videos
The computerized medical record in gastroenterology: part 4. Health curriculum vitae
Insights
The health curriculum vitae organizes patient diagnoses chronologically, linking them to causes and treatments. It integrates functional, morphological, and laboratory data for comprehensive health records.
Area of Science:
- Medical Informatics
- Health Information Management
Background:
- The health curriculum vitae (HCV) is a key component of medical records.
- Current HCVs primarily present a chronological sequence of diagnoses.
Purpose of the Study:
- To describe the structure and components of the health curriculum vitae.
- To highlight the integration of diagnostic, etiological, treatment, and laboratory data within the HCV.
Main Methods:
- The study describes the conceptual framework of the HCV.
- It outlines the vertical and horizontal data associations within the HCV.
- Utilizes established medical terminologies for data organization.
Main Results:
- The HCV chronologically sequences diagnoses, linking them to etiological factors and treatments.
- It integrates functional, morphological, and numerical laboratory data horizontally with diagnoses.
- Employs Systematized Nomenclature of Medicine (SNOMED), CIOMS, and International Standard Classification of Occupations.
Conclusions:
- The HCV provides a structured, integrated view of a patient's health history.
- This structure facilitates comprehensive understanding through diagnostic associations.
- Standardized nomenclature ensures consistency and interoperability of health data.
Abstract:
The health curriculum vitae consists mainly of a chronological sequence of diagnoses, which are the mainstays of the medical record. Each diagnosis is connected vertically in the health curriculum vitae with its aetiological factors and its medical or surgical treatments in a casual concatenation; and horizontally throughout the other three parts of the record with its relevant functional, morphological (descriptive) and numerical laboratory data in a diagnostic association. The health curriculum vitae uses the Systematized Nomenclature of Medicine (SNOMED), the International Nomenclature of the Diseases of the Gastrointestinal Tract (CIOMS) and the International Standard Classification of Occupations of the Internationl Labour Office.