All of their charts were retrospectively reviewed by a physician and a gynecologist, including out-patient department records, admission note, discharge note, transfer note, laboratory data, previous operative records, pelvic examination, and ultrasound findings.
The data included Social Security numbers, clinical notes, laboratory test results and prescriptions.
If classroom notes, lecture notes, laboratory procedures, or other written materials already exist from a traditional course, these can be used for content as notes sent to the students, notes posted on a Web site that can be downloaded by the student, or notes on a CD-ROM that the student can peruse or print out.
Early on, the EHR was comprised of electronic chart notes, laboratory values, and imaging reports.
The clinic database, case notes, laboratory and radiology reports were examined.
Unless otherwise noted, laboratory measurements were performed at Quest Diagnostics (Chantilly, VA).
Visit notes, laboratory tests and results were obtained daily for each event of interest and reviewed for MLI.
All information on both cases and controls were abstracted directly from the medical record, including physician notes, laboratory data, letters, and non-visit care information.
Most adverse occurrences were identified only in medical records, such as progress notes, laboratory reports, imaging reports, operation reports, and discharge summaries (61.5%).
Frequently noted laboratory findings among those tested included thrombocytopenia (67%), lymphopenia (53%), leukopenia (39%), anemia (36%), and elevated aspartate aminotransferase or alanine transaminase (78%) (Table 2).
The electronic medical records, including demographic data, clinical notes, laboratory tests, imaging studies and pathologic reports were reviewed to verify therapy, response to treatment and to identify progression events.
