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Structured Reporting Method for ePR Generation

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Abstract:

Appropriate electronic medical report-making soft-wares help physicians to personally generate records for paper printing and ePR access. Flat data-sheets with check-boxes that have been already used in traditional medical paper reports, do not satisfy today's physician demands for more professional reports."nAlternatively, Structured Reporting (SR) as the modified version of flat check-box based reporting method is being selected. In this method, items are nested in a hieratical tree so that each reporting item includes several substitutions. Hence, computer generates professional sentences with logical pre-defined combination of selected items. In our work, on the basis of SR method, we provided solution for reporting of Endoscopy procedures that is accepted by several Gastroenterologists as a proper software. In addi-tion, successful results in generation of ePRs using SR are newly achieved in Cardiology.

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