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

Authors
  • Thomas H. Payne
  • Barak Gaster
  • Durline Mineer
  • Jim Mazurk
  • Nancy Dunnington
  • Jacquie Zehner
  • Bill Lober
  • Erik Van Eaton
  • Wayne McCormick
Publisher
American Medical Informatics Association
Publication Date
Jan 01, 2003
Source
PMC
Keywords
Disciplines
  • Computer Science
  • Medicine
License
Unknown

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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