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KMID : 0603720100160040305
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Journal of Korean Society of Medical Informatics
2010 Volume.16 No. 4 p.305 ~ p.311
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Implementation of Chest X-ray Observation Report Entry System
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Seo Suk-Tae
Park Hee-Joon
Kim Min-Soo
Son Chang-Sik
Park Hyoung-Seob
Jeon Hyo-Chan
Jung Chi-Young
Kim Yoon-Nyun
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Abstract
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Objectives: X-rays are widely used in medical examinations. In particular, chest X-rays are the most frequent imaging test. However, observations are usually recorded in a free-text format. Therefore, it is difficult to standardize the information pro-vided to construct a database for the sharing of clinical data. Here, we describe a simple X-ray observation entry system that can interlock with an electronic medical record system.
Methods: We investigated common diagnosis indices. Based on the indices, we have designed an entry system which consists of 5 parts: 1) patient lists, 2) image selection, 3) diagnosis result en-try, 4) image view, and 5) main menu. The X-ray observation results can be extracted in an Excel format.
Results: The useful-ness of the proposed system was assessed in a study using over 500 patients’ chest X-ray images. The data was readily extract-ed in a format that allowed convenient assessment.
Conclusions: We proposed the chest X-ray observation entry system. The proposed X-ray observation system, which can be linked with an electronic medical record system, allows easy extraction of standardized clinical information to construct a database. However, the proposed entry system is limited to chest X-rays and it is impossible to interpret the semantic information. Therefore, further research into domains using other interpretation methods is required.
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KEYWORD
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Chest X-ray, Electronic Medical Record, Standardized Clinical Information, Entry System, Picture Archiving and Communication System
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