Creating a note classification scheme for a multi-institutional electronic medical record.
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.
Payne
Thomas H
TH
UW Medicine, University of Washington, Seattle, USA. tpayne@u.washington.edu
Gaster
Barak
B
Mineer
Durline
D
Mazurk
Jim
J
Dunnington
Nancy
N
Zehner
Jacquie
J
Lober
Bill
B
Van Eaton
Erik
E
McCormick
Wayne
W
D000046:Academic Medical Centers; D005568:Forms and Records Control; D006751:Hospital Information Systems; D006801:Humans; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized / Q000145:classification*; D012984:Software; D014861:Washington