Journal of Medical Systems

, Volume 7, Issue 2, pp 103–109

A chartless record—Is it adequate?

  • W. W. Stead
  • W. E. Hammond
  • M. J. Straube
Articles

Abstract

The computerized medical record supported by The Medical Record (TMR) has been the only record of physician-patient encounters on the nephrology service of the Durham Veterans Administration Medical Center since April 1981. Physicians using the system evaluated the adequacy of the computerized record as a replacement for the paper chart. The computerized record was able to capture and display all pertinent data. Manual or computerized narratives provided a useful supplement to the core computerized record only in those rare instances that a physician needed to point out which of the data in the record were important to his decision making.

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Copyright information

© Plenum Publishing Corporation 1983

Authors and Affiliations

  • W. W. Stead
    • 1
  • W. E. Hammond
    • 1
  • M. J. Straube
    • 1
  1. 1.From the Duke University Medical CenterDurham

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