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. 2003:2003:968.

Creating a note classification scheme for a multi-institutional electronic medical record

Thomas H Payne  1 , Barak Gaster, Durline Mineer, Jim Mazurk, Nancy Dunnington, Jacquie Zehner, Bill Lober, Erik Van Eaton, Wayne McCormick
Affiliations

Creating a note classification scheme for a multi-institutional electronic medical record

Thomas H Payne et al. AMIA Annu Symp Proc. 2003.

Abstract

How notes are categorized in an electronic medical record (EMR) influences how rapidly users can locate documents and enter new ones, whether algorithmic search for chart deficiencies is possible, and the ease of incorporating collections of existing notes. We balanced these competing needs when developing a note classification scheme for the Online Record of Clinical Activity (ORCA) electronic medical record at the University of Washington.

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Figures

Figure
Figure
Sample showing subset of scheme as viewed through ORCA user interface.
See this image and copyright information in PMC

References

    1. Brown SH, Lincoln M, Hardenbrook S, et al. Derivation and evaluation of a document-naming nomenclature. JAMIA. 2001;8:379–390. - PMC - PubMed
    1. Lober WB, Tarczy-Hornoch P, Development of a multi-axial taxonomy for clinical documents, AMIA Fall Symposium Los Angeles, CA, November 2000.]

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