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PubMed · 14728202

Clinical documents: attribute-values entity representation,context, page layout and communication.

Christian Lovis Lovis·Alexander Lamb·Robert Baud·Anne-Marie Rassinoux·Paul Fabry·Antoine Geissbühler
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Abstract

This paper presents how acquisition, storage and communication of clinical documents is implemented at the University Hospitals of Geneva. Careful attention has been given to user-interfaces, in order to support complex layouts, spell checking, and templates management with automatic prefilling. A dual architecture has been developed for storage using an entity-attribute-value unified database and a consolidated, patient-centered, layout-respectful file-based storage, providing both representation power and speed of access. This architecture allows a great flexibility for storing a continuum of data types, ranging from simple typed values to complex clinical reports. Finally, communication is entirely based on HTTP-XML internally, and a HL-7 CDA interface V2 is currently studied for external communication. Some of the problems encountered, mostly related to the typology of documents and the ontology of clinical attributes are evoked.

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Computer SystemsDatabases as TopicDecision Support Systems, ClinicalHospital Information SystemsHospitals, UniversityHumansInformation ManagementInformation Storage and RetrievalMedical Records Systems, ComputerizedSemanticsSoftwareSurveys and QuestionnairesSwitzerlandUser-Computer InterfaceJournal ArticleResearch Support, Non-U.S. Gov't

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Christian Lovis Lovis, Alexander Lamb, Robert Baud, Anne-Marie Rassinoux, Paul Fabry, Antoine Geissbühler. 2003. Clinical documents: attribute-values entity representation,context, page layout and communication.. https://pubmed.ncbi.nlm.nih.gov/14728202/

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