Gregory, J.; Mattison, J.E.; Linde, C.: Naming notes : transitions from free text to structured entry (1995)
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- Abstract
- Offers a contribution from social science research to discussions of current medical records practices and how health care activity systems may be transformed by electronic health records. Offers a framework that connects questions concerning medical informatics systems development with issues involved in transitions from handwritten and other free text documentation to structured entry of medical records. The context is a multi-disciplinary research and development effort to create an electronic health record prototype at the Southern California Kaiser Permanente Medical Care program
