An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications.
Alcohol use is a significant part of a patient's history, but details about consumption are not always documented. Electronic Health Record (EHR) systems have the potential to improve assessment of alcohol use and misuse; however, a challenge is that critical information may be documented primarily in free-text rather than in a structured and standardized format, thereby limiting its use.
Author(s): Chen, Es, Garcia-Webb, M
DOI: 10.4338/ACI-2013-12-RA-0101