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This paper describes the implementation of clinically defined episodes of care and the introduction of an episode-based summary list of patient problems across Mayo Clinic Rochester in 1996 and 1997. Although Mayo's traditional paper-based system has always relied on a type of 'episode of care' (called the "registration") for patient and history management,(More)
A system was developed for reporting gynecologic procedures at Chicago Lying-In Hospital. The system is designed to report procedures and treatments performed during both inpatient stays and outpatient visits. Key features of the system are (1) the automatic encoding of all gynecologic procedures in both the ICD (International Classification of Diseases)(More)
This paper presents a methodology for developing a data architecture for clinical medicine. The methodology uses an object-oriented analysis approach that takes advantage of the domain expertise of practicing physicians. The resulting high-level data model combines a structured, event-based model of clinical information with the process-oriented structures(More)
This paper suggests that for medical knowledge to be effective, it must be reliably translated into a series of synchronized activities, both clinical and operational. The goal of medical information science must be not only to identify the best course of care, but also through the use of systems for the ordering, scheduling, and deployment of staff and(More)
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