Implementation of interinstitutional and transnational remote terminology services.

In view of the benefits yielded by the Terminology Server running in the Healthcare Information System of Hospital Italiano de Buenos Aires, the Institution implemented all the necessary changes in order to offer such services to other health-care institutions, using the Internet as communication vehicle. Megasalud is the most integrated healthcare network of Chile and decided to change their legacy system and develop their own Healthcare Information System and started to use Remote Terminology Services. After the implementation of these Terminology Services we tested the performance for identifying free text added in their electronic health record. Between 78% to 89% of text entered was recognized. The task of creating an institutional interface terminology provides an excellent service to the users, as they have the freedom to use free-text entry.