Concepedia

Clinical Note Standardization

Clinical Note Standardization is a methodological framework within clinical document standards that establishes consistent structures, terminologies, and data elements for representing clinical narratives to ensure interoperability, comparability, and reliability of patient encounter documentation across healthcare systems.

7

Publications

267

Citations

29

Authors

10

Institutions

Publications per year

2017–2026

2

Parents

Publications

7

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic

Claudia L. Nassaralla, James M. Naessens, Rajeev Chaudhry et al. · BMJ Quality & Safety · 2007 · 98 citations · Full text

, , +15

Development and evaluation of a clinical note section header terminology.

Joshua C. Denny, Randolph A. Miller, Kevin B. Johnson et al. · PubMed · 2008 · 64 citations

, , +17

Adapting to transparent medical records: international experience with “open notes”

Charlotte Blease, Brian McMillan, Liz Salmi et al. · BMJ · 2022 · 40 citations · Full text

, , +16

Identifying and characterizing highly similar notes in big clinical note datasets

Rodney A. Gabriel, Tsung-Ting Kuo, Julian McAuley et al. · Journal of Biomedical Informatics · 2018 · 32 citations

, , +11

The CRABEL score—setting standards in maxillofacial medical note-keeping

Daljit Dhariwal, A.J. Gibbons · British Journal of Oral and Maxillofacial Surgery · 2004 · 12 citations

, , +5

1–5 of 7

Authors

29

  1. AS
    Anderson Spickard

    Vanderbilt University, United States

    1 publications · 64 citations

    1

    h-index

  2. FM
    Frank Meng

    VA Boston Healthcare System, United States

    1 publications · 11 citations

    1

    h-index

  3. KB
    Kevin B. Johnson

    Vanderbilt University Medical Center, United States

    1 publications · 64 citations

    1

    h-index

  4. HK
    Hooshang Kangarloo

    University of California, Los Angeles, United States

    1 publications · 11 citations

    1

    h-index

  5. NM
    Nancy M. Lorenzi

    Vanderbilt University, United States

    1 publications · 10 citations

    1

    h-index

1–5 of 29

Institutions

10

  1. Vanderbilt University

    Nashville, United States

    2 h-index

    2 publications

    74 citations

  2. Harvard University

    Cambridge, United States

    1 h-index

    3 publications

    120 citations

  3. University of Manchester

    Manchester, United Kingdom

    1 h-index

    2 publications

    80 citations

  4. University of California, Los Angeles

    Los Angeles, United States

    1 h-index

    5 publications

    55 citations

  5. Mayo Clinic in Florida

    Jacksonville, United States

    1 h-index

    1 publications

    98 citations

  6. Mayo Clinic

    Rochester, United States

    1 h-index

    4 publications

    392 citations

  7. University of California San Diego

    San Diego, United States

    1 h-index

    4 publications

    128 citations

  8. Manchester Academic Health Science Centre

    Manchester, United Kingdom

    1 h-index

    2 publications

    80 citations

1–8 of 10

Venues

  1. Applied Clinical Informatics

    ACI · 1 publications · 10 citations

    1

    h-index

  2. Journal of Biomedical Informatics

    1 publications · 32 citations

    1

    h-index

  3. International Journal of Medical Informatics

    1 publications · 11 citations

    1

    h-index

  4. BMJ Quality & Safety

    1 publications · 98 citations

    1

    h-index

  5. PubMed

    Repository · 1 publications · 64 citations

    1

    h-index

1–5