title: Design and implementation of synoptic operative report template using interoperable standards.
abstract: The increasing use of synoptic operative reports in clinical settings represents a major milestone in the advancement of health information technology. Synoptic operative report templates enable clinicians to capture and display succinct clinical information in a standardized and logical manner. Synoptic operative report templates also provide the optimum goal of enriching personalized health information of a given patient at the point of care so as to support the exchange of clinical information across the continuum of multiple healthcare providers. However, most of the available synoptic operative report templates in many clinical settings do not incorporate interoperable standards in their design and implementation. This paper proposes a novice template (i.e., eSOR-SCI) that uses interoperable standards for its design and implementation.
authors: Division of Neurosurgery, Capital Health, Halifax, Nova Scotia, Canada. bonney@cs.dal.ca
authors: Wilfred
authors: W
authors: Bonney
authors: Sean
authors: S
authors: Christie
authors: Grace
authors: G
authors: Paterson
authors: Ginette
authors: G
authors: Thibault-Halman
authors: Areej
authors: A
authors: Alsulaiman
mesh_terms: D004282:Documentation / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D005568:Forms and Records Control / Q000592:standards*; D013502:General Surgery / Q000592:standards*; D055991:Health Records, Personal; D038622:Internationality; D008498:Medical Record Linkage / Q000592:standards*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000592:standards*