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Related Concept Videos

Methods of Documentation I: Source-Oriented Records01:18

Methods of Documentation I: Source-Oriented Records

Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Methods of Documentation IV: Focus Charting01:26

Methods of Documentation IV: Focus Charting

Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:

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Related Experiment Video

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

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Published on: September 20, 2018

CARMEN: a practical approach to metadata management.

Mark Jessop1, Mike Weeks, Jim Austin

  • 1Advanced Computer Architectures Group, Department of Computer Science, University of York, Heslington, York YO10 5DD, UK. mark.jessop@cs.york.ac.uk

Philosophical Transactions. Series A, Mathematical, Physical, and Engineering Sciences
|August 4, 2010
PubMed
Summary
This summary is machine-generated.

The Code Analysis Repository & Modelling for E-Neuroscience (CARMEN) project developed a metadata repository for secure data sharing. This system enhances resource discovery and re-use in e-neuroscience and beyond.

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Area of Science:

  • E-Neuroscience
  • Computational Biology
  • Data Management

Background:

  • The Code Analysis Repository & Modelling for E-Neuroscience (CARMEN) project facilitates resource sharing via a secure online environment.
  • CARMEN supports storage, curation, and execution of analysis for electrophysiology data and other scientific domains.
  • Effective metadata is crucial for resource discovery, interpretation, evaluation, and re-use within large data repositories.

Purpose of the Study:

  • To discuss and explore CARMEN's approach to implementing a metadata repository.
  • To meet system requirements and user expectations for resource management.
  • To refine initial approaches based on user evaluations for practical application.

Main Methods:

  • Implementing a searchable metadata repository for diverse scientific resources (data, code, protocols).
  • Establishing user-driven requirements for metadata adequacy and system functionality.
  • Iteratively refining metadata implementation strategies based on user feedback and evaluations.

Main Results:

  • A practical metadata repository approach was developed, aligning with user needs and project goals.
  • The system enables efficient discovery and access to stored resources.
  • User evaluations informed refinements, leading to a more effective metadata strategy.

Conclusions:

  • The CARMEN project successfully implemented a metadata repository to support resource sharing in e-neuroscience.
  • The developed metadata system enhances discoverability and re-usability of scientific data and analysis tools.
  • A user-centered, iterative approach is key to building effective scientific data management systems.