title: Development of a nursing record based on MR item.
abstract: In terms of the quality of the Medical Record (MR), Severance Hospital has maintained a very high level. So digitalization of medical records itself is a big obstacle and a threatening situation. The purpose of this study was to develop an Electronic Medical Record (EMR) system based on MR items for accuracy and ease of utilization in recording. The concept of an MR Item and Form generator can be a helpful solution to a successful adaptation of the EMR and sharing of medical information.
authors.affiliation: Department of Medical Informatics, Yonsei University Medical Center, Korea.
authors.forename: Young Ah
authors.initials: YA
authors.lastname: Kim
authors.forename: Insook
authors.initials: I
authors.lastname: Kim
authors.forename: Yong Ock
authors.initials: YO
authors.lastname: Kim
mesh_terms: D006801:Humans; D007723:Korea; D016347:Medical Records Systems, Computerized; D009737:Nursing Records / Q000592:standards*