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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Supporting CMT and user customization in Clinical Documentation templates
Nancy Nasuti Whipple1, Matvey B Palchuk, Maya Olsha-Yehiav
1Information Systems, Partners HealthCare System, Boston, MA, USA.
Abstract:
Clinical Documentation in the ambulatory care setting must support each clinician's unique workflow and data collection requirements. In addition the documentation system must also be the foundation for interoperability both within and external to the organization. Linking documentation to controlled medical terminologies (CMT) provides data sharing capability and centralized management and quality reporting. Separating codified content from its presentation allows clinicians to create templates and forms that meet these requirements while still ensuring data integrity.
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