Global applicability of a local physical examination template

Kirstine Rosenbeck Gøeg
Department of Health Science and Technology, Aalborg University, Denmark

Pia Britt Elberg
Department of Health Science and Technology, Aalborg University, Denmark

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Ingår i: Scandinavian Conference on Health Informatics 2012; October 2-3; Linköping; Sverige

Linköping Electronic Conference Proceedings 70:1, s. 1-7

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Publicerad: 2012-09-28

ISBN: 978-91-7519-758-6

ISSN: 1650-3686 (tryckt), 1650-3740 (online)


Achieving semantic interoperability is a challenge due to the complexity and variability of health care and clinical information systems. Applying locally developed templates in other organisations and in standardisation work requires that the local templates have a global applicability. Therefore; the aim of this paper is to examine the global applicability of a physical examination template from Odense University Hospital. This was done by comparing the content of the template with an international text book description of a physical examination as well as 42 clinical findings derived from randomly chosen international clinical notes from physical examinations. To quantify differences and similarities between clinical notes and the template; SNOMED CT was used for analysis. The study showed that approximately ¾ of the 42 clinical findings could be represented in the Odense Template. This suggests that local templates; at least for well defined clinical processes; have a global applicability.


Computerized medical records; SNOMED CT


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