Communication of Clinically Relevant Information in Electronic Health Records: A Comparison between Structured Data and Unrestricted Physician Language
by Philip Resnik, PhD; Michael Niv, PhD; Michael Nossal, MA; Andrew Kapit; and Richard Toren Abstract We report on a study comparing unrestricted physician dictations with structured input in electronic health records. The results suggest a need for attention to the contrast between physicians’ naturally occurring language and the information permitted by structured data entry. […]