DATA REQUIREMENT AND APPROPRIATED STRUCTURE FOR DIABETES PROGRESS NOTE

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NEMATI MANSHOUR KH.; KAZEMNEJAD A.; AHMADI M.

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Journal Paper

Paper Information

Journal: Iranian Journal of Endocrinology & Metabolism Year:2016 | Volume:18 | Issue:1 Page(s): 10-20

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Information Journal Paper

Title

DATA REQUIREMENT AND APPROPRIATED STRUCTURE FOR DIABETES PROGRESS NOTE

Author(s)

NEMATI MANSHOUR KH. | KAZEMNEJAD A. | AHMADI M. | Issue Writer Certificate

Keywords

DIABETESQ3

DATA REQUIREMENTQ1

PROGRESS NOTEQ1

ELECTRONIC REPORTQ1

SOAPQ1

Abstract

Introduction: Currently, the world faces the serious problem of chronic diseases. These diseases need on going care more than treatment. For care to be recognized as a principle, it should be standard, recordable and evaluable. This requires specific data to beenteredin a system with the appropriate framework. This study aims to determine DATA REQUIREMENTs and appropriate structure for a template that documents DIABETES.Materials and Methods: This was a descriptivecross-sectional study performed in 2013-2014. A checklist containing 18 groups of DIABETES data elements was prepared through studying the inpatient and outpatient DIABETES records, as well as related research studies. The check list was presented to and evaluated bya focus group consisting 8 experts. An score was calculated for each of the data elements according to the item influence index formula.Results: Using the item influence index formula, of a total of 99 data elements, 73 were approved and 26 were rejected. Data were classified based on the Subjective, Objective, Assessment, Plan (SOAP) method.Conclusion: As the approved DATA REQUIREMENTs were derived from a focus group containing endocrinologists, health information management and medical informatics experts, and classified based on the standards of SOAP, it is expected that the approved data and structure be an appropriate tool for DIABETES data collection and acceptable to its users.

Cites

Telemedicine Applications for Screening Diabetic Retinopathy

References

DIABETES IN ASIA AND THE PACIFIC: IMPLICATIONS FOR THE GLOBAL EPIDEMIC

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APA: Copy

NEMATI MANSHOUR, KH., KAZEMNEJAD, A., & AHMADI, M.. (2016). DATA REQUIREMENT AND APPROPRIATED STRUCTURE FOR DIABETES PROGRESS NOTE. IRANIAN JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM), 18(1), 10-20. SID. https://sid.ir/paper/27297/en

Vancouver: Copy

NEMATI MANSHOUR KH., KAZEMNEJAD A., AHMADI M.. DATA REQUIREMENT AND APPROPRIATED STRUCTURE FOR DIABETES PROGRESS NOTE. IRANIAN JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM)[Internet]. 2016;18(1):10-20. Available from: https://sid.ir/paper/27297/en

IEEE: Copy

KH. NEMATI MANSHOUR, A. KAZEMNEJAD, and M. AHMADI, “DATA REQUIREMENT AND APPROPRIATED STRUCTURE FOR DIABETES PROGRESS NOTE,” IRANIAN JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM), vol. 18, no. 1, pp. 10–20, 2016, [Online]. Available: https://sid.ir/paper/27297/en

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