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Paragraph-oriented structure for narratives in medical documentation.

C Lovis1, R H Baud, C Revillard

  • 1Division of Medical Informatics, University Hospital of Geneva, 1211 Geneva, Switzerland. christian.lovis@dim.hcuge.ch

Studies in Health Technology and Informatics
|October 18, 2001
PubMed
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This study details a 6-year experiment with a document-centered electronic patient record system. The paragraph-based document management system offers advantages in ease of maintenance and implementation without natural language processing.

Area of Science:

  • Medical Informatics
  • Health Information Systems
  • Document Management

Background:

  • Traditional electronic patient records face challenges in flexibility and maintenance.
  • A document-centered approach offers a potential solution for managing complex health information.

Purpose of the Study:

  • To evaluate a novel paragraph-oriented electronic patient record system over a 6-year period.
  • To assess the advantages and practical implementation of a document-centered approach in a hospital setting.

Main Methods:

  • Implementation of a document management system based on a central repository.
  • Automatic document construction from predefined paragraph sets before editing.
  • Permanent storage of documents decomposed into paragraphs after editing and signing.

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Main Results:

  • The system demonstrated ease of typology creation and maintenance.
  • Successful widespread implementation in hospitals without requiring natural language processing.
  • Daily usability within commercially available text editors.

Conclusions:

  • The paragraph-oriented, document-centered electronic patient record system is effective and practical.
  • The system's design facilitates user needs through adaptable attributes and properties.
  • This approach offers a viable alternative for electronic health record management.