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The anatomy of clinical documentation: an assessment and classification of narrative note sections format and content
Introduction. We systematically analyzed the most commonly used narrative note formats and content found in primary and specialty care visit notes to inform future research and electronic health record (EHR) development. Methods. We extracted data from the history of present illness (HPI) and impres...
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| Publié dans: | AMIA Annu Symp Proc |
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| Auteurs principaux: | , , |
| Format: | Artigo |
| Langue: | Inglês |
| Publié: |
American Medical Informatics Association
2021
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| Sujets: | |
| Accès en ligne: | https://ncbi.nlm.nih.gov/pmc/articles/PMC8075472/ https://ncbi.nlm.nih.gov/pubmed/33936404 |
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