Skip to main content

Table 1 The European Hospital Georges Pompidou (HEGP) and the University Hospital of Münster (UKM) Electronic Health Records Terminologies

From: Leveraging the EHR4CR platform to support patient inclusion in academic studies: challenges and lessons learned

Category

Terminology used

HEGP

UKM

Biological results

Local (partially mapped to LOINC)

Local

Clinical parameters (pulse, temperature, …)

Local

Local

Diagnosis (final discharge)

ICD-10

ICD10-GM

Medical Procedures

CCAM (French medical procedure coding system)

OPS (German procedure coding system)

Drug Prescriptions

ATC

Local

Clinical Reports

None (free-text)

None (free-text)

Demographic data

Local

Local

Complementary test reports

None (free-text)

None (free-text)

Pathological diagnosis

ADICAP (French terminology for pathology)

TNM

Chemotherapy Prescriptions

Local

ATC