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Results: 1 to 20 of 160

1.

Data from clinical notes: a perspective on the tension between structure and flexible documentation.

Rosenbloom ST, Denny JC, Xu H, Lorenzi N, Stead WW, Johnson KB.

J Am Med Inform Assoc. 2011 Mar-Apr;18(2):181-6. doi: 10.1136/jamia.2010.007237. Epub 2011 Jan 12.

PMID:
21233086
[PubMed - indexed for MEDLINE]
Free PMC Article
2.

Generating Clinical Notes for Electronic Health Record Systems.

Rosenbloom ST, Stead WW, Denny JC, Giuse D, Lorenzi NM, Brown SH, Johnson KB.

Appl Clin Inform. 2010 Jan 1;1(3):232-243.

PMID:
21031148
[PubMed]
Free PMC Article
3.

Impact of an electronic information system on physician workflow and data collection in the intensive care unit.

Apkon M, Singhaviranon P.

Intensive Care Med. 2001 Jan;27(1):122-30.

PMID:
11280623
[PubMed - indexed for MEDLINE]
4.

A qualitative analysis evaluating the purposes and practices of clinical documentation.

Ho YX, Gadd CS, Kohorst KL, Rosenbloom ST.

Appl Clin Inform. 2014 Feb 26;5(1):153-68. doi: 10.4338/ACI-2013-10-RA-0081. eCollection 2014.

PMID:
24734130
[PubMed - in process]
Free PMC Article
5.
6.

Clinical documentation: composition or synthesis?

Mamykina L, Vawdrey DK, Stetson PD, Zheng K, Hripcsak G.

J Am Med Inform Assoc. 2012 Nov-Dec;19(6):1025-31. doi: 10.1136/amiajnl-2012-000901. Epub 2012 Jul 19.

PMID:
22813762
[PubMed - indexed for MEDLINE]
Free PMC Article
7.

An electronic health record based on structured narrative.

Johnson SB, Bakken S, Dine D, Hyun S, Mendonça E, Morrison F, Bright T, Van Vleck T, Wrenn J, Stetson P.

J Am Med Inform Assoc. 2008 Jan-Feb;15(1):54-64. Epub 2007 Oct 18.

PMID:
17947628
[PubMed - indexed for MEDLINE]
Free PMC Article
8.

"Smart Forms" in an Electronic Medical Record: documentation-based clinical decision support to improve disease management.

Schnipper JL, Linder JA, Palchuk MB, Einbinder JS, Li Q, Postilnik A, Middleton B.

J Am Med Inform Assoc. 2008 Jul-Aug;15(4):513-23. doi: 10.1197/jamia.M2501. Epub 2008 Apr 24.

PMID:
18436911
[PubMed - indexed for MEDLINE]
Free PMC Article
9.

On educating about medical data management - the other side of the electronic health record.

Haux R, Knaup P, Leiner F.

Methods Inf Med. 2007;46(1):74-9.

PMID:
17224986
[PubMed - indexed for MEDLINE]
10.

Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region.

Barbarito F, Pinciroli F, Mason J, Marceglia S, Mazzola L, Bonacina S.

J Biomed Inform. 2012 Aug;45(4):736-45. doi: 10.1016/j.jbi.2012.01.006. Epub 2012 Jan 21.

PMID:
22285983
[PubMed - indexed for MEDLINE]
Free Article
11.

Modeling problem-oriented clinical notes.

Cillessen FH, de Vries Robbé PF.

Methods Inf Med. 2012;51(6):507-15. doi: 10.3414/ME11-01-0064. Epub 2012 Nov 16.

PMID:
23154581
[PubMed - indexed for MEDLINE]
12.

Definition, structure, content, use and impacts of electronic health records: a review of the research literature.

Häyrinen K, Saranto K, Nykänen P.

Int J Med Inform. 2008 May;77(5):291-304. Epub 2007 Oct 22. Review.

PMID:
17951106
[PubMed - indexed for MEDLINE]
13.

Speech recognition software and electronic psychiatric progress notes: physicians' ratings and preferences.

Derman YD, Arenovich T, Strauss J.

BMC Med Inform Decis Mak. 2010 Aug 25;10:44. doi: 10.1186/1472-6947-10-44.

PMID:
20738875
[PubMed - indexed for MEDLINE]
Free PMC Article
14.

Documentation and coding of ED patient encounters: an evaluation of the accuracy of an electronic medical record.

Silfen E.

Am J Emerg Med. 2006 Oct;24(6):664-78.

PMID:
16984834
[PubMed - indexed for MEDLINE]
15.

MedEx: a medication information extraction system for clinical narratives.

Xu H, Stenner SP, Doan S, Johnson KB, Waitman LR, Denny JC.

J Am Med Inform Assoc. 2010 Jan-Feb;17(1):19-24. doi: 10.1197/jamia.M3378.

PMID:
20064797
[PubMed - indexed for MEDLINE]
Free PMC Article
16.

Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators.

Embi PJ, Weir C, Efthimiadis EN, Thielke SM, Hedeen AN, Hammond KW.

J Am Med Inform Assoc. 2013 Jul-Aug;20(4):718-26. doi: 10.1136/amiajnl-2012-000946. Epub 2013 Jan 25.

PMID:
23355462
[PubMed - indexed for MEDLINE]
Free PMC Article
17.

Improved documentation of wound care with a structured encounter form in the pediatric emergency department.

Kanegaye JT, Cheng JC, McCaslin RI, Trocinski D, Silva PD.

Ambul Pediatr. 2005 Jul-Aug;5(4):253-7.

PMID:
16026193
[PubMed - indexed for MEDLINE]
18.

The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting.

Cusack CM, Hripcsak G, Bloomrosen M, Rosenbloom ST, Weaver CA, Wright A, Vawdrey DK, Walker J, Mamykina L.

J Am Med Inform Assoc. 2013 Jan 1;20(1):134-40. doi: 10.1136/amiajnl-2012-001093. Epub 2012 Sep 8.

PMID:
22962195
[PubMed - indexed for MEDLINE]
Free PMC Article
19.

Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information.

Keenan G, Yakel E, Dunn Lopez K, Tschannen D, Ford YB.

J Am Med Inform Assoc. 2013 Mar-Apr;20(2):245-51. doi: 10.1136/amiajnl-2012-000894. Epub 2012 Jul 21.

PMID:
22822042
[PubMed - indexed for MEDLINE]
Free PMC Article
20.

Managing the life cycle of electronic clinical documents.

Payne TH, Graham G.

J Am Med Inform Assoc. 2006 Jul-Aug;13(4):438-45. Epub 2006 Apr 18.

PMID:
16622169
[PubMed - indexed for MEDLINE]
Free PMC Article
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