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Data from clinical notes: a perspective on the tension between structure and flexible documentation

Clinical documentation is central to patient care. The success of electronic health record system adoption may depend on how well such systems support clinical documentation. A major goal of integrating clinical documentation into electronic heath record systems is to generate reusable data. As a re...

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Bibliografiske detaljer
Main Authors: Rosenbloom, S Trent, Denny, Joshua C, Xu, Hua, Lorenzi, Nancy, Stead, William W, Johnson, Kevin B
Format: Artigo
Sprog:Inglês
Udgivet: BMJ Group 2011
Fag:
Online adgang:https://ncbi.nlm.nih.gov/pmc/articles/PMC3116264/
https://ncbi.nlm.nih.gov/pubmed/21233086
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1136/jamia.2010.007237
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