OpenSDE: Row modeling applied to generic structured data entry

RK (Renske) Los*, AM (Astrid) van Ginneken, M (Marcel) de Wilde, Johan Lei

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

26 Citations (Scopus)

Abstract

Clinicians generally record medical narrative data, such as current complaints, physical
examination, and progress notes, as free text in paper-based medical records. The medical narrative involves
heterogeneous and detailed data that include the description of (multiple) occurrences of medical findings or
symptoms that may progress over time. Structured, electronic recording of narrative data would facilitate the use
of these data for research. The authors’ OpenSDE application supports clinicians with the structured recording of
narrative data in both research and care settings. Data entry is enabled using forms that are generated using
domain-specific trees of medical concepts. For data storage, the authors have expanded the traditional row
modeling methodology with additional columns that allow structured representation of medical narratives
including descriptions of findings, multiple occurrences of findings, and the progression of findings over time
Original languageUndefined/Unknown
Pages (from-to)162-165
Number of pages4
JournalJournal of the American Medical Informatics Association
Volume11
Issue number2
DOIs
Publication statusPublished - 2004

Research programs

  • EMC NIHES-03-77-02

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