Abstract
IVORY, a computer-based tool that uses clinical findings as the basic unit for composing progress notes, generates progress notes more efficiently than does a character-based word processor. IVORY's clinical findings are contained within a structured vocabulary that we developed to support generation of both prose progress notes and SNOMED III codes. Observational studies of physician participation in the development of IVORY's structured vocabulary have helped us to identify areas where changes are required before IVORY will be acceptable for routine clinical use.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Quaak M. J., Westerman R. F., Schouten J. A., Hasman A., van Bemmel J. H. Appraisal of computerized medical histories: comparisons between computerized and conventional records. Comput Biomed Res. 1986 Dec;19(6):551–564. doi: 10.1016/0010-4809(86)90029-7. [DOI] [PubMed] [Google Scholar]
- Rector A. L., Nowlan W. A., Kay S. Foundations for an electronic medical record. Methods Inf Med. 1991 Aug;30(3):179–186. [PubMed] [Google Scholar]
- Safran C., Rury C., Rind D. M., Taylor W. C. A computer-based outpatient medical record for a teaching hospital. MD Comput. 1991 Sep-Oct;8(5):291–299. [PubMed] [Google Scholar]