OpenSDE: Row Modeling Applied to Generic Structured Data Entry

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OpenSDE: Row Modeling Applied to Generic Structured Data Entry

j J Am Med Inform Assoc. 2004;11:162–165. DOI 10.1197/jamia.M1375. The medical narrative section of the patient record comprises the medical history, physical examination, progress notes, and reports on additional tests and interventions. Medical narrative data vary per discipline, per patient, and over time. Besides the heterogeneity of the data, the level of detail in recording varies greatly...

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Technical Brief: OpenSDE: Row Modeling Applied to Generic Structured Data Entry

Clinicians generally record medical narrative data, such as current complaints, physical examination, and progress notes, as free text in paper-based medical records. The medical narrative involves heterogeneous and detailed data that include the description of (multiple) occurrences of medical findings or symptoms that may progress over time. Structured, electronic recording of narrative data ...

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OpenSDE: A strategy for expressive and flexible structured data entry

PURPOSE This description focuses on the expressiveness and flexibility of OpenSDE: an application that supports recording of structured narrative data. METHODS OpenSDE enables data entry with (customizable) forms based on trees of medical concepts. The relevant scope for data entry can be tailored per medical domain by construction of a domain-specific tree. OpenSDE is intended for structurin...

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Why are structured data different? Relating differences in data representation to the rationale of OpenSDE.

OpenSDE is an application that supports clinicians with structured recording of narrative patient data to enable use of data in both clinical practice and research. OpenSDE is based on a rationale and requirements for structured data entry. In this study, we analyse the impact of the rationale and the requirements on data representation using OpenSDE. Three paediatricians transcribed 20 paper p...

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Generic Computer-based Questionnaires: an Extension to OpenSDE

Development of computer-based questionnaires (CQs) has been an ongoing challenge since the 1960s. The added value of such CQs for data collection and the acceptance by patients have been well documented. Many questionnaire projects, however, were temporary due to dedicated software, limited funding, and lack of integration with medical information systems. Also, the use of a fixed dedicated dat...

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ژورنال

عنوان ژورنال: Journal of the American Medical Informatics Association

سال: 2003

ISSN: 1067-5027,1527-974X

DOI: 10.1197/jamia.m1375