Abstract

The introduction of electronic health records (EHR) in almost all healthcare settings, and the end of traditional paper records, offers new opportunities to organize, normalize, and standardize health information. The professional roles of the librarian in hospitals has converged into a new emerging professional figure: the health documentation manager (a professional who knows and uses health classifications, taxonomies, and ontologies that are encoded within EHRs; but also integrates bibliographic tools into their activities).

Abstract

The information systems departments of European health services have the challenge of creating a dose record and reporting system of doses from medical procedures for its inclusion in the patient’s medical history, in compliance with Directive 2013/59 Euratom, which determines the obligation to manage the measurement and evaluation of the doses as well as the evaluation of the risk associated therewith. It is important the fact that this information must be universal, because the main objective is that every patient be able to access all information about medical radiology exposures regardless of the equipment, center or organization where it has been performed. In this aerticle the main technological challenges and problems are presented and basic solutions are described to be applied in developing environments of record systems using the learned experience in the project for the measurement of doses derived from radiology explorations in Spain.