Revision as of 16:08, 19 June 2018

The purpose of this page is to illustrate how a wiki-based clinical document might appear; the content is based on a series of notes that can found here. These details are derived from the de-identified EHR of a real patient but details have been changed such that any resemblance to a real patient is entirely coincidental.

Note: some of the links below are to external websites such as Wikipedia and the NCI Thesaurus. In a true medical wiki, these external links would likely be replaced with application programming interfaces (APIs), which would enforce HIPAA-compliant authentication and authorization.

Demographics

Note: the linked "female" is to a value set that specifies a set of structured choices for gender, as an example of how wiki-based formatting can be linked to structured concepts. Likewise, the "Race" and "Ethnicity" concepts can be linked directly to the CDC Race and Ethnicity Code Set Version 1.0, which is required for certified EHRs. Note also that some versions of wiki software can calculate dates, such as the current age based on DOB (not currently enabled here).

Patient Name: PatientX
Gender: Female
DOB: January 1, 1960
Race: White (2106-3)
Ethnicity: Not Hispanic or Latino (2186-5)
- Note that "concept codes" such as 2106-3 do not have to be shown, and can be toggled/hidden.

Active medical problems

Breast carcinoma

Resolved medical problems

Allergies

Penicillin
- Category: Medication
- Reaction: Maculopapular rash
- Level of certainty: Confirmed

Medications

Gabapentin 600 mg PO TID

Family history

Social history

@@ Line 1: / Line 1: @@
-''The purpose of this page is to illustrate how a wiki-based clinical document might appear. This is a hypothetical patient; any resemblance to a real patient is entirely coincidental.''
+''The purpose of this page is to illustrate how a wiki-based clinical document might appear; the content is based on a series of notes that can found [[Academic_Medicine_standard_narrative|here]]. These details are derived from the de-identified EHR of a real patient but details have been changed such that any resemblance to a real patient is entirely coincidental.''
+<br>
+<br><span style="color:red">''Note: some of the links below are to external websites such as [https://www.wikipedia.org/ Wikipedia] and the [https://ncit.nci.nih.gov/ NCI Thesaurus]. In a true medical wiki, these external links would likely be replaced with [https://en.wikipedia.org/wiki/Application_programming_interface application programming interfaces (APIs)], which would enforce HIPAA-compliant authentication and authorization.''</span>
 =Demographics=
+<span style="color:red">''Note: the linked "female" is to a value set that specifies a set of structured choices for gender, as an example of how wiki-based formatting can be linked to structured concepts. Likewise, the "Race" and "Ethnicity" concepts can be linked directly to the CDC Race and Ethnicity Code Set Version 1.0, which is required for certified EHRs. Note also that some versions of wiki software can calculate dates, such as the current age based on DOB (not currently enabled here).''</span>
+*Patient Name: PatientX
+*Gender: [https://www.hl7.org/fhir/codesystem-administrative-gender.html Female]
+*DOB: January 1, 1960
+*[https://phinvads.cdc.gov/vads/ViewValueSet.action?id=67D34BBC-617F-DD11-B38D-00188B398520 Race]: White (2106-3)
+*[https://phinvads.cdc.gov/vads/ViewValueSet.action?id=35D34BBC-617F-DD11-B38D-00188B398520 Ethnicity]: Not Hispanic or Latino (2186-5)
+**<span style="color:red">''Note that "concept codes" such as 2106-3 do not have to be shown, and can be toggled/hidden.''</span>
 =Active medical problems=
-*[https://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&version=16.08e&ns=NCI_Thesaurus&code=C4872&key=1825553084&b=1&n=null Breast carcinoma]
+==[https://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI_Thesaurus&version=16.08e&ns=NCI_Thesaurus&code=C4872&key=1825553084&b=1&n=null Breast carcinoma]==
 =Resolved medical problems=

Difference between revisions of "Academic Medicine wiki-based narrative"