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A special edition of the Journal of Medical Systems is being planned for the topic of Electronic Medical Records. Many firms and organizations are planning to or are involved in some stage of conversion to a computer-based medical record system. The authors' experience and collective wisdom could help others who need to know what to look for and how to(More)
The National Survey of Hospital Data Processing contains a great wealth of information that the hospitals have contributed in respect to the trends and changes that are now occurring within our hospital data-processing environment. 2-5 We wish to thank all of those hospitals that have participated in this study and have been willing to provide the kind of(More)
The application and form of electronically stored medical knowledge has a direct impact on the design of any healthcare delivery system. For those who plan for remote medical care or who work at the disaster relief level, there are specific requirements which will dictate the type of knowledge required and the vehicle best suited to deliver that(More)
The MDX diagnostic decision support system contains a multitude of clinical facts as reported in a variety of medical textbooks and national medical journals. The database was custom designed for the medical diagnostic process and offers users the widest range of diagnostic knowledge available from a single source in the industry. The database consists of(More)
This paper describes a computer diagnostic system for malignant melanoma. The diagnostic system is a rule base system based on image analyses and works under the PC windows environment. It consists of seven modules: I/O module, Patient/Clinic database, image processing module, classification module, rule base module and system control module. In the system,(More)
Laboratory computers have expanded in potential and are now capable of handling a communication system to support patient care. New technics and interactive software to expand this function are described and were developed because of serious deficiencies discovered in the hospital laboratory operation. New concepts in ordering of tests, collection and(More)
The consideration of natural language as a domain for computer processing has has been one of the long-term projects in the history of data processing. Computers were developed in the late 40's and early 50's in the United States and from the very beginning there was a desire and intent that someday the computer would handle speech and be able to understand(More)
The purpose of this paper is to describe the design and development of the Clinical Practice Library of Medicine (CPLM). CPLM is an investigational project aimed at providing health care practitioners with critical in-depth information similar to that obtained from a medical reference library or consultant. When used in conjunction with the physician's(More)
Medical records are the fulcrum of patient care activities. They represent the primary reference point with respect to the patient's medical status and long-term planning. A significant portion of the patient care dollar is invested in the medical record document and its handling. The most critical part of this process takes place in the physician's(More)
As you can see from a review of the physician interface, there are many exciting potentials that exist for the future of the EMR. None of these will happen unless we change the focus of the system design process and start by making the physician a key and primary player in this equation. To get a proactive physician following is the most important step(More)