Challenges in reusing transactional data for daily documentation in neonatal intensive care.
The reuse of transactional data for clinical documentation requires navigation of computational, institutional and adaptive barriers. We describe organizational and technical issues in developing and deploying a daily progress note tool in a tertiary neonatal intensive care unit that reuses and aggregates data from a commercial integrated clinical information system.
Kim
G R
GR
Division of Neonatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Division of Heatlh Sciences Informatics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Lawson
E E
EE
Lehmann
C U
CU
D001185:Artificial Intelligence; D004282:Documentation / Q000379:methods*; D005568:Forms and Records Control / Q000458:organization & administration*; D016247:Information Storage and Retrieval / Q000379:methods*; D015931:Intensive Care, Neonatal / Q000458:organization & administration*; D008396:Maryland; D008487:Medical History Taking / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009323:Natural Language Processing