AIMC Topic: Documentation

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Integrity of clinical information in radiology reports documenting pulmonary nodules.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVE: Quantify the integrity, measured as completeness and concordance with a thoracic radiologist, of documenting pulmonary nodule characteristics in CT reports and assess impact on making follow-up recommendations.

Envisioning an artificial intelligence documentation assistant for future primary care consultations: A co-design study with general practitioners.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVE: The study sought to understand the potential roles of a future artificial intelligence (AI) documentation assistant in primary care consultations and to identify implications for doctors, patients, healthcare system, and technology design ...

Use of Natural Language Processing to Assess Frequency of Functional Status Documentation for Patients Newly Diagnosed With Colorectal Cancer.

JAMA oncology
This cross-sectional study applies natural language processing to electronic health records from a large health care delivery system to examine performance status documentation among patients newly diagnosed with colorectal cancer.

eHealth and Clinical Documentation Systems.

Studies in health technology and informatics
eHealth is the use of modern information and communication technology (ICT) for trans-institutional healthcare purposes. Important subtopics of eHealth are health data sharing and telemedicine. Most of the clinical documentation to be shared is colle...

PrositNG - A Machine Learning Supported Disease Model Generation Software.

Studies in health technology and informatics
Decision models (DM), especially Markov Models, play an essential role in the economic evaluation of new medical interventions. The process of DM generation requires expert knowledge of the medical domain and is a time-consuming task. Therefore, the ...

A network model of activities in primary care consultations.

Journal of the American Medical Informatics Association : JAMIA
OBJECTIVE: The objective of this study is to characterize the dynamic structure of primary care consultations by identifying typical activities and their inter-relationships to inform the design of automated approaches to clinical documentation using...

Recurrent Deep Network Models for Clinical NLP Tasks: Use Case with Sentence Boundary Disambiguation.

Studies in health technology and informatics
Although a number of foundational natural language processing (NLP) tasks like text segmentation are considered a simple problem in the general English domain dominated by well-formed text, complexities of clinical documentation lead to poor performa...

Machine Learning Methods for Identifying Critical Data Elements in Nursing Documentation.

Nursing research
BACKGROUND: Public health nurses (PHNs) engage in home visiting services and documentation of care services for at-risk clients. To increase efficiency and decrease documentation burden, it would be useful for PHNs to identify critical data elements ...