Style Standards to Improve Data Quality and Interoperability
8:30am - 9:30amThursday, February 14
Orlando - Orange County Convention Center
This session will discuss the value and benefits of documentation standards as described by the American Medical Association and other standards developing organizations such as WHO and the American Joint Committee on Cancer. Examples of relevant standards include units of measure; pharmaceutical regimens; cancer protocols; laboratory studies; genetics; disease classifications; and the use of abbreviations, medical slang and lingo. The consistent use of style in the healthcare record promotes clear communication; contributes to patient safety; and improves information exchange, data integration and data aggregation. Applying standards of style to EHR templates, drop-down text, and data dictionaries reduces the need for data normalization, potentially improving results from NLP and emerging technologies such as AI. The Association for Healthcare Documentation Integrity has compiled relevant standards into a single reference to aid in the programming and implementation of EHRs.