Abstract
The reuse of transactional data for clinical documentation requires navigation of computational, institutional and adaptive barriers. We describe organizational and technical issues in developing and deploying a daily progress note tool in a tertiary neonatal intensive care unit that reuses and aggregates data from a commercial integrated clinical information system.
MeSH terms
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Artificial Intelligence
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Documentation / methods*
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Forms and Records Control / organization & administration*
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Information Storage and Retrieval / methods*
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Intensive Care, Neonatal / organization & administration*
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Maryland
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Medical History Taking / methods*
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Medical Records Systems, Computerized / organization & administration*
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Natural Language Processing*