Related Experiment Video
Updated: Aug 30, 2026
A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Using nurses' natural language entries to build a concept-oriented terminology for patients' chief complaints in the
Debbie A Travers1, Stephanie W Haas
1School of Information and Library Science, University of North Carolina at Chapel Hill, Campus Box 3360, Chapel Hill, NC 27599-3360, USA. dtravers@med.unc.edu
Abstract:
Information about the chief complaint (CC), also known as the patient's reason for seeking emergency care, is critical for patient prioritization for treatment and determination of patient flow through the emergency department (ED). Triage nurses document the CC at the start of the ED visit, and the data are increasingly available in electronic form. Despite the clinical and operational significance of the CC to the ED, there is no standard CC terminology. We propose the construction of concept-oriented nursing terminologies from the actual language used by experts. We use text analysis to extract CC concepts from triage nurses' natural language entries. Our methodology for building the nursing terminology utilizes natural language processing techniques and the Unified Medical Language System.
Related Concept Videos
01:26Formulating and Validating Nursing Diagnosis I
There are thirteen domains for...
01:30Methods of Documentation VII: EMR
01:10Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:28Formats for Nursing Documentation
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...