An Electronic Health Record Based on Structured Narrative
نویسندگان
چکیده
منابع مشابه
Model Formulation: An Electronic Health Record Based on Structured Narrative
OBJECTIVE To develop an electronic health record that facilitates rapid capture of detailed narrative observations from clinicians, with partial structuring of narrative information for integration and reuse. DESIGN We propose a design in which unstructured text and coded data are fused into a single model called structured narrative. Each major clinical event (e.g., encounter or procedure) i...
متن کاملAn Electronic Health Record Based on Structured Narrative
Design: We propose a design in which unstructured text and coded data are fused into a single model called structured narrative. Each major clinical event (e.g., encounter or procedure) is represented as a document that is marked up to identify gross structure (sections, fields, paragraphs, lists) as well as fine structure within sentences (concepts, modifiers, relationships). Marked up items a...
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Good and healthy communication between physician and patient is cornerstone of a complete medical care that has long been considered in sociology. From the classical point of view, the physician-patient relationship as a unique relationship encompasses a wide range of cultural and social influences. Electronic health record not only has facilitated the treatment and diagnosis process, but also ...
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ژورنال
عنوان ژورنال: Journal of the American Medical Informatics Association
سال: 2008
ISSN: 1067-5027,1527-974X
DOI: 10.1197/jamia.m2131