A taxonomy for contextual information in electronic health records.

NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec) Pub Date : 2012-06-23 eCollection Date: 2012-01-01

Charlene R Weir, Nancy Staggers, Kristina Doing-Harris, Robert Dunlea, Teresa McCormick, Robyn Barrus

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Abstract

Contextual information is functional, social and financial information about patients and is central to many health-care decisions, including end-of-life care, living arrangements, and the aggressiveness of treatment. It is the language of patients when talking about their health and frequently the focus of nursing interventions. In this study, we report the results of a qualitative analysis of interviews of 17 clinicians focusing on their use of contextual information during the process of care, decision-making and documentation. We identified seven characteristics of contextual information relevant to its use in a clinical setting. Implications for Natural Language Processing and Ontology construction are discussed.

本刊更多论文

电子健康记录中上下文信息的分类法。

情境信息是关于患者的功能、社会和财务信息，是许多医疗保健决策的核心，包括临终关怀、生活安排和治疗的积极程度。这是病人在谈论他们的健康时的语言，也是护理干预的重点。在本研究中，我们报告了对17名临床医生访谈的定性分析结果，重点关注他们在护理、决策和记录过程中使用情境信息。我们确定了与其在临床环境中使用相关的上下文信息的七个特征。讨论了自然语言处理和本体构建的意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

NI 2012 : 11th International Congress on Nursing Informatics, June 23-27, 2012, Montreal, Canada. International Congress in Nursing Informatics (11th : 2012 : Montreal, Quebec)

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