Professional Documents
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Article 3
Article 3
By :
Daniel Priya Jatmika (31210003)
Ervina Damayanti (31210005)
Veronica Ayuningtyas (31210012)
● Journal tittle : Consultation of Medical Narratives in the
Electronic Medical Record
● Juornal writer : H. J. Tange
● Publication : Department of Medical Informatics,
Maastricht University, The Netherlands
ABSTRACT
● This article presents an overview of a research project concerning the
consultation of medical narratives in the electronic medical record
(EMR). It describes an analysis of user needs, the design and
implementation of a prototype EMR system, and the evaluation of the
ease of consultation of medical narratives when using this system. In a
questionnaire survey, 85 hospital physicians judged the quality of their
paper-based medical record with respect to data entry, information
retrieval and some other aspects.
1. Introduction
● The primary purpose of the medical record is to supply
information for daily medical practice. At present, it
increasingly serves as a communication tool used by a
variety of healthcare providers. This new functionality places
more requirements on the format and content of the medical
record.
EMR ( Electronic Medical Record )
● A concise survey of terms and their
definitions is given by the Medical
Records Institute (USA), which
proposed the following definition: “An
Electronic Medical Record is a
repository of clinical data within one
single healthcare enterprise that is
characterized by direct data entry and
integration from different sources”
● One of the impediments for the
development and distribution of EMR
systems is the inability of existing
systems to incorporate physician
gathered medical narratives
satisfactorily
2. User needs: Why the Paper Medical Record is still Appreciated