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Careful attention must be paid when designing the following components of a hospital-wide electronic patient record (EPR) system: the common medical controlled terminology, the semantic data model for a standardized representation of patient data and the normalized database. Requirements are detailed. Problems encountered when coordinating the development of a medical terminology with the modeling of patient medical data are analyzed. Solutions implemented in the hospital- wide DOCLIN EPR system at the University Hospital of Geneva (HUG) are presented.
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