Table 2

Scanning categories. The number of subsections within the categories and the degree of scanned multiple documents versus scanned single documents varies between the hospitals.

Category

Examples


Summaries

E.g. Index of consultations and admissions, Discharge reports, Discharge reports from other hospitals.

Textual medical record

E.g. Continuous textual medical record (admission reports, surgery reports etc.), Referrals within the hospital

Lab results – tissue and body fluids

E.g. clinical biochemical/immunol./pharmacol. Investigations

Organ functions (incl. photographs)

E.g. cardiovascular function, lungs and respiratory function

Radiology and other imaging

E.g radiological investigations, CT, MRI, ultrasound.

Treatment, observation and anestesia forms

E.g. patient chart summary and treatment forms.

Nurses' documentation

E.g. nurse's admission reports and notes

Other health personnel

E.g. physical therapist, occupational therapist

Correspondence

E.g. admission request forms

Certificates/notifications

E.g. various public certificates, forms and notifications


Lium et al. BMC Medical Informatics and Decision Making 2008 8:2   doi:10.1186/1472-6947-8-2

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