ArticleApplied clinical informatics2013
The impact of domain knowledge on structured data collection and templated note design.
Article in Applied clinical informatics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A State-of-the Art Review of SNOMED CT Terminology Binding and Recommendations for Practice and Research.Methods of information in medicine · 2021Article
- Roadmap to a more useful and usable electronic health record.Cardiovascular digital health journal · 2021Article
- Structured Data Capture for Oncology.JCO clinical cancer informatics · 2021Article
- Preprocessing structured clinical data for predictive modeling and decision support. A roadmap to tackle the challenges.Applied clinical informatics · 2016Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this case report is to evaluate the importance of specialized domain knowledge when designing and using structured templated notes in a clinical environment.
methodsTo analyze the impact of specialization on structured note generation we compared notes generated for three scenarios: 1) We compared the templated history of present illness (HPI) for patients presenting with a dermatology concern to the dermatologist versus the emergency department. 2) We compared the evaluation of chest pain by ED physicians versus cardiologists. 3) Finally, we compared the data elements asked for in the evaluation of the gastrointestinal system between cardiologists and the liver transplant service (LTS). We used the SNOMED CT representation via BioPortal to evaluate specificity and grouping between data elements and specialized physician groups.
resultsWe found few similarities in structured data elements designed by and for the specific physician groups. The distinctness represented both differences in granularity as well as fundamental differences in data elements requested. When compared to ED physicians, dermatologists had different and more granular elements while cardiologists requested much more granular data. Comparing cardiologists and LTS, there were differences in the data elements requested.
conclusionThis case study supports the importance of domain knowledge in EHR design and implementation. That different specialities should want and use different information is well supported by cognitive science literature. Despite this, it is rare for domain knowledge to be considered in EHR implementation. Physicians with correct domain knowledge should be involved in the design process of templated notes.
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