Work

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

Year: 1992

Type: article

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.

Source: PubMed Central

Authors: D S Bell, R A Greenes, P Doubilet

Institutions: Brigham and Women's Hospital, Harvard University

Language: English

Topic: Electronic Health Records Systems

Subfield: Health Information Management

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funders: National Institutes of Health, U.S. National Library of Medicine

Awards: MEDICAL INFORMATICS RESEARCH TRAINING, KNOWLEDGE MANAGEMENT, Biomedical Informatics and Data Science Research Training Program (BIRT)