000000393 001__ 393 000000393 005__ 20250424232520.0 000000393 0247_ $$2DOI$$a10.6083/M42Z13G0 000000393 037__ $$aETD 000000393 245__ $$aA standardized GI endoscopy procedure note, in extensible markup language, formatted using Health Level Seven (version 3) clinical document architecture (release 2) 000000393 260__ $$bOregon Health and Science University 000000393 269__ $$a2010 000000393 336__ $$aCapstone 000000393 502__ $$bM.B.I. 000000393 502__ $$gBiomedical Informatics 000000393 520__ $$aDocuments are the cornerstone of medical records and electronic records will require electronic documents. For systems to communicate, these documents will need to be able to be carried in electronic messages. Health Level Seven (HL7) is the most widely adopted set of standards for the transfer of electronic messages and, in Version Three (HL7 V3), there is a standard for the production of electronic documents. This standard is called Clinical Document Architecture, now in its second release (CDA R2). It may be carried by HL7 V3 or Version Two (HL7 V2) messages, but can also stand alone as a separate document outside of a message. This project describes the creation of a Procedure Note Implementation Guide, and as part of that, the construction of an endoscopy report example of a procedure note. 000000393 540__ $$fCC BY 000000393 542__ $$fIn copyright - single owner 000000393 650__ $$aEndoscopy$$018436 000000393 650__ $$aMedical Informatics$$021938 000000393 650__ $$aElectronic Health Records$$038928 000000393 650__ $$aHealth Level Seven$$038899 000000393 650__ $$aMedical Records$$021947 000000393 691__ $$aSchool of Medicine$$041369 000000393 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000000393 7001_ $$aCarr, Thomas$$uOregon Health and Science University$$041354 000000393 7201_ $$aLogan, Judith$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000000393 8564_ $$9b3484b62-654d-4775-ab28-1ec08ac37a59$$s1324048$$uhttps://digitalcollections.ohsu.edu/record/393/files/394_etd.pdf$$ePublic$$2459f9b33208d231f0db3b06a5e869a4e$$31 000000393 905__ $$a/rest/prod/34/84/zg/94/3484zg94r 000000393 909CO $$ooai:digitalcollections.ohsu.edu:393$$pstudent-work 000000393 980__ $$aBiomedical Informatics