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基于结构化词汇表的表单式临床输入:在超声报告中的初步应用

Form-based clinical input from a structured vocabulary: initial application in ultrasound reporting.

作者信息

Bell D S, Greenes R A, Doubilet P

机构信息

Decision Systems Group, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.

出版信息

Proc Annu Symp Comput Appl Med Care. 1992:789-90.

PMID:1482982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2247990/
Abstract

Ultra-STAR (Ultrasound Structured Attribute Reporting) allows a sonographer to record reports using a hierarchic standardized vocabulary. Reports are constructed interactively by using checkboxes and radio buttons in a graphical user interface to select concepts from the vocabulary. Concepts are presented in small windows that open when needed to record further detail. Preliminary reports are printed for the referring physician. Reports are later finalized by an attending radiologist and uploaded to the hospital's information system. Clinicians involved so far prefer an outline report to a natural language format.

摘要

超声结构化属性报告(Ultra-STAR)允许超声检查医师使用分层标准化词汇记录报告。通过在图形用户界面中使用复选框和单选按钮从词汇表中选择概念来交互式构建报告。概念以小窗口呈现,需要记录更多细节时会打开这些窗口。初步报告打印出来供转诊医生使用。报告随后由主治放射科医生定稿并上传到医院信息系统。到目前为止,参与的临床医生更喜欢提纲式报告而非自然语言格式。

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Form-based clinical input from a structured vocabulary: initial application in ultrasound reporting.基于结构化词汇表的表单式临床输入:在超声报告中的初步应用
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本文引用的文献

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An interactive report generator for bone scan studies.用于骨扫描研究的交互式报告生成器。
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