Defining structural constraints for the development of structured operation note for breast cancer based on Clinical Document Architecture.
Clinical Document Architecture (CDA) has been proven to be a useful and powerful standard for structured exchange of clinical documents between heterogeneous information systems. This study demonstrates how CDA can be used to structure different types of clinical document forms like discharge summary consultation note and operation note with formal constraints. Structured documents offer improved possibility of searching for specific information within them.
Seo
Hwa Jeong
HJ
Medical Informatics, Graduate School of Public Health, Gachon Medical School, Inchon 405-760, Korea.
Youn
Sung Tae
ST
Hwang
Ki-Tae
KT
Kim
Ju Han
JH
D001943:Breast Neoplasms; D003195:Computer Communication Networks / Q000592:standards*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000592:standards*; D011381:Programming Languages; D012984:Software / Q000592:standards