Difference between revisions of "Report template guidelines"
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== General principles == | == General principles == | ||
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** Criticality | ** Criticality | ||
** Change [unchanged | decreased | increased] | ** Change [unchanged | decreased | increased] | ||
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== Template overview == | == Template overview == |
Revision as of 18:41, 28 May 2009
General principles
- Except for report headings, users are able to enter "free" (unstructured, narrative) text anywhere in a report. Any field for structured data can be filled with plain text.
- Any data item has "built-in" modifiers to specify:
- Degree of certainty [definite | probable | ...]
- Criticality
- Change [unchanged | decreased | increased]
Template overview
- Text fields are enclosed by square brackets. A default value may be shown.
Lungs: [Normal.]
- Single-choice items are separated by vertical bars ("pipes") within square brackets. An asterisk indicates the default value.
Hydronephrosis: [None* | Mild | Moderate | Severe]
- Multiple-choice items are indicated by semicolons within square brackets.
Indications: [chronic chest pain; atypical angina; pre-valve replacement]
- Numeric values are indicated by the "#" sign. Units may be indicated.
Contrast dose: [# mL]
- Pre-defined data types are specified within angle brackets. These data types might include specific types of data or values that might flow into the reporting system from acquistion devices.
Date: [<date>] Head Circumference: [<ultrasound:hc>]
- Comments are indicated by curly braces.
{If left or co-dominant: LPDA and LPL branches should be addressed.}