Recording clinical data--from a general set of record items to case report forms (CRF) for clinics.
Standardising a documentary language makes only sense if we use it for documentation consequently. Using an example of Paediatric Oncology in Germany we have developed a procedure that generates CRFs from a documentary language. The introduced procedure has proved to be feasible in practice. With it we can support developers of documentation systems in creating their CRFs; through the guaranteed use of the documentation terminology we further achieve that information recorded with the created CRFs may be statistically analysed across different institutions.
Merzweiler
A
A
Institute for Medical Biometry and Informatics, Department of Medical Informatics, University of Heidelberg, 69120 Heidelberg, Germany. angela.merzweiler@gmx.de
Knaup
P
P
Weber
R
R
Ehlerding
H
H
Haux
R
R
Wiedemann
T
T
D002986:Clinical Trials as Topic / Q000592:standards*; D004282:Documentation / Q000592:standards*; D006801:Humans; D008495:Medical Oncology; D016347:Medical Records Systems, Computerized / Q000592:standards*; D015337:Multicenter Studies as Topic / Q000592:standards; D010372:Pediatrics; D009626:Terminology as Topic; D018875:Vocabulary, Controlled