A comparison of mental state examination documentation by junior clinicians in electronic health records before and after the introduction of a semi-structured assessment template (OPCRIT+).
Sarah E. M. LoboJames RuckerMadeleine J. KerrFidel GalloGiles ConstableMatthew HotopfRobert StewartMatthew T. M. BroadbentMartin BaggaleySimon LovestonePeter McGuffinMyanthi AmarasingheStuart NewmanGunter SchumannPhilip J. BrittainPublished in: Int. J. Medical Informatics (2015)
Keyphrases
- semi structured
- mental states
- electronic health records
- clinical data
- clinical trials
- structured data
- information extraction
- data model
- text mining
- web documents
- autonomous agents
- free text
- decision support system
- statistical analysis
- structured knowledge
- intelligent agents
- relational databases
- health care
- medical data
- database
- health records
- patient data
- data integration
- web pages
- databases